ALEXANDRA VITTORIA TREVISAN PMHNP-BC
NPI 1861282873
Nurse Practitioner - Psychiatric/Mental Health in Madison, WI

Q: What is Alexandra Trevisan's NPI number?

The NPI number for Alexandra Trevisan is 1861282873. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Q: What is Alexandra Trevisan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since May 12, 2025PECOS Enrolled

6515 GRAND TETON PLZ STE 220, MADISON, WI 53719(608) 713-9898 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2026, May 12, 2025 (2 updates tracked since 2025).

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About Alexandra Vittoria Trevisan Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA VITTORIA TREVISAN PMHNP-BC (NPI 1861282873) is an individual psychiatric/mental health provider in Madison, Wisconsin, licensed in Wisconsin (16786-33) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sun Prairie, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1861282873

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameALEXANDRA VITTORIA TREVISANCredential: PMHNP-BC

Location Address6515 GRAND TETON PLZ STE 220Madison, WI 53719-1048

Mailing Address6515 Grand Teton Plz Ste 220Madison, WI 53719-1048 · (608) 713-9898 · Fax (608) 713-9647

Phone(608) 713-9898

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 12, 2025

Last NPPES UpdateMay 26, 20262 updates tracked since enumeration

NPPES CertifiedMay 26, 2026

✔ NPI 1861282873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WI · 16786-33

6515 GRAND TETON PLZ STE 220, Madison, WI 53719

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Secondary Practice Location 1

Location 1425 W Main St Ste 201Sun Prairie, WI 53590-2971 · Phone (608) 318-2233

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Network Health, Quartz and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Vittoria Trevisan Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173035730

PECOS Enrollment IDI20250620001598

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53719 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIANN N. MODOS APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)