Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053831487 Individual Practitioner Female Practitioner

Alexandra Denise Disrud , PA-C

Physician Assistant • Summit, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Alexandra Disrud, PA-C is a certified Physician Assistant practicing in Summit, WI. With approximately 9 years of clinical experience since completing medical education in 2017, Alexandra Disrud delivers high-quality medical care to the local community at 36500 AURORA DR.

Alexandra Disrud is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

36500 Aurora Dr

Summit, WI 53066

Telephone 2624341000
Fax 2624345050
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Summit, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -1.9 yrs vs City Avg
City Avg: 10.9 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
22 Specialists

Practicing in Summit, WI (3517 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
85.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Disrud (9 Years) 9 Yrs
Summit Specialty Average (10.9 Years) 10.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
29 17 $390.00 $57.56
99239 Hospital discharge day management, more than 30 minutes
22 22 $700.00 $86.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
17 15 $525.00 $93.08

Medical Specialties & State Licenses

CMS Verified: 2021-12-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1053831487 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

1020 N 12th St, Milwaukee, WI 532331308

Phone: 4142193056

Aurora Medical Group, Inc.

36500 Aurora Dr, Summit, WI 530664899

Phone: 2624345000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Bijan Nezami

Internal Medicine - Critical Care Medicine

NPI 1003201625
Kody Lewis , PA-C

Physician Assistant

NPI 1013144393

Physician Assistant (Certified)

Dr. Vijay Johnson , MD

Internal Medicine - Critical Care Medicine

NPI 1023298072

Doctor of Medicine (M.D.)

Kelly Campbell , ANP-BC

Nurse Practitioner

NPI 1023395118

ANPBC

Dr. Brett Mclachlan , MD

Emergency Medicine

NPI 1023452661

Doctor of Medicine (M.D.)

Lea Van Heule , CAA

Anesthesiologist Assistant

NPI 1023658549

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location April 01, 2019

Registered at 36500 AURORA DR, SUMMIT, WI 53066 (Tel: 2624341000)

📍
Updated Business Mailing Address April 01, 2019

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 2624341000)

📍
Updated Practice Location September 07, 2018

Registered at 9200 W WISCONSIN AVE STE C5400, MILWAUKEE, WI 53226 (Tel: (414) 805-0812)

👤
Provider Name / Credentials Updated September 07, 2018

Recorded as ALEXANDRA DISRUD, PA-C

NPI Profile Active September 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2017

Registered at 9200 W WISCONSIN AVE STE C5400, MILWAUKEE, WI 532263522 (Tel: (414) 805-0812)

📍
Updated Business Mailing Address September 08, 2017

Registered at 9200 W WISCONSIN AVE STE C5400, MILWAUKEE, WI 532263522 (Tel: 4148050812)

👤
Provider Name / Credentials Updated September 08, 2017

Recorded as ALEXANDRA DE VRIES, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2017

Physician Assistant

NPI Profile Active June 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2017

Registered at 9200 W WISCONSIN AVE STE C5400, MILWAUKEE, WI 532263522 (Tel: (414) 805-0812)

📍
Updated Business Mailing Address June 27, 2017

Registered at 9200 W WISCONSIN AVE STE C5400, MILWAUKEE, WI 532263522 (Tel: 4148050812)

👤
Provider Name / Credentials Updated June 27, 2017

Recorded as ALEXANDRA DE VRIES, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2017

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 27, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053831487
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2017
Last Update: December 01, 2021
Sole Proprietor: No

Mailing Address

36500 Aurora Dr

Summit, WI 530664899

Phone: 2624341000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.