Individual provider Active NPI

Alexandra Vittoria Trevisan, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, WI
National Provider Identifier
1861282873
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
16786-33 Issued in WI
Practice address
6515 Grand Teton PLZ Ste 220
Madison, WI 53719-1048
Phone
(608) 713-9898
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 16786-33 WI Primary

Addresses

Primary practice location

6515 Grand Teton PLZ Ste 220
Madison, WI 53719-1048

Mailing address

6515 Grand Teton PLZ Ste 220
Madison, WI 53719-1048
Phone (608) 713-9898

Other practice location 1

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

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
I20250620001598 WI Practitioner - Nurse Practitioner 3173035730 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16786-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercyland Psychiatry Inc CurrentSince Jun 1, 2025 Accepting new patients
Collaborative Solutions in Psychiatry, SC PastSince Apr 30, 2023 Accepting new patients

Locations

425 W Main St
Ste 201
Sun Prairie, WI 53590
Phone (608) 318-2233

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26294/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alexandra.trevisan.1@26294.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1861282873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 GRAND TETON PLZ STE 220",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191048",
            "telephone_number": "608-713-9898",
            "fax_number": "608-713-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 GRAND TETON PLZ STE 220",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191048",
            "telephone_number": "608-713-9898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 W Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Sun Prairie",
            "state": "WI",
            "postal_code": "535902971",
            "country_code": "US",
            "telephone_number": "608-318-2233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVISAN",
        "first_name": "ALEXANDRA",
        "middle_name": "VITTORIA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "16786-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.