Individual provider Active NPI

Raye Marie Serratos, APNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Racine, WI
National Provider Identifier
1033459805
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
16235-33 Issued in WI
Practice address
1244 Wisconsin Ave
Racine, WI 53403-1987
Phone
(262) 627-9073
NPI assigned
Feb 15, 2013
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 16235 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 16235-33 WI Primary

Addresses

Primary practice location

1244 Wisconsin Ave
Racine, WI 53403-1987

Mailing address

1244 Wisconsin Ave
Racine, WI 53403-1987
Phone (262) 627-9073

Other names 1

  • Raye M Vinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250122000893 WI Practitioner - Nurse Practitioner 3375072259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3805 B Spring St
Suite 240
Mount Pleasant, WI 53405-1643
Phone (262) 687-8018

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16235WIMDAddiction (Substance Use Disorder) Counselor
16235-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc Nurse Practitioner CurrentSince Jan 17, 2025 Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

3805B Spring St
Ste 240
Mount Pleasant, WI 53405
Phone (262) 687-5250

1244 Wisconsin Ave
Racine, WI 53403
Phone (262) 687-2150

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1033459805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 WISCONSIN AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031987",
            "telephone_number": "262-627-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 WISCONSIN AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031987",
            "telephone_number": "262-627-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRATOS",
        "first_name": "RAYE",
        "middle_name": "MARIE",
        "credential": "APNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-15",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "16235",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "16235-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAYE",
            "last_name": "VINSON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Racine, WI

Sources for this page

Verify at the official NPI Registry.