Active NPI
Alexandra Wilson, CPNP
- Family Nurse Practitioner
- Wauwatosa, WI
National Provider Identifier
1306356589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8047-33
- Practice address
- 2500 N Mayfair Rd Ste 500
Wauwatosa, WI 53226-1415 - Phone
- (414) 249-2422
- Fax
- (414) 961-0298
- NPI assigned
- Oct 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 8047-33 | WI | |
| Family Nurse Practitioner | 363LF0000X | 8047-33 | WI | Primary |
Addresses
Primary practice location
2500 N Mayfair Rd Ste 500
Wauwatosa, WI 53226-1415
Mailing address
2500 N Mayfair Rd Ste 500
Wauwatosa, WI 53226-1415
Phone (414) 249-2422
Other practice location 1
525 W River Woods Pkwy Ste 130
Glendale, WI 53212-1010
Phone (414) 249-2422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 19, 2025 through Dec 19, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2500 N Mayfair Rd
Suite 500
Wauwatosa, WI 53226-1415
Hospital & facility affiliations
- Orthopaedic Hospital of Wisconsin
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8047-33 | WI | MD | Pediatric Nurse Practitioner |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, WI
- NPI 1669584983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1306356589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N MAYFAIR RD STE 500",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261415",
"telephone_number": "414-249-2422",
"fax_number": "414-961-0298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N MAYFAIR RD STE 500",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261415",
"telephone_number": "414-249-2422",
"fax_number": "414-961-0298"
}
],
"practiceLocations": [
{
"address_1": "525 W River Woods Pkwy Ste 130",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "WI",
"postal_code": "532121010",
"country_code": "US",
"telephone_number": "414-249-2422",
"fax_number": "414-961-0298",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "ALEXANDRA",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-02",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WI",
"license": "8047-33",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "8047-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.