ALICIA KRELL – Family Nurse Practitioner, NPI 1720892433

ALICIA KRELL is a healthcare provider. based in Racine, Wisconsin. specializing in NURSE PRACTITIONER. They hold a License No. 16450-33 (WI). The NPI Number for ALICIA KRELL is 1720892433

Main info

Female
2 Years Of Experience
Name
ALICIA KRELL
NPI
1720892433
Phone
(704) 604-6752
Address
924 MONTCLAIR DR
Enumeration Date
3 February 2025
Last Update Date
3 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2628989000
Graduation Year
2024 (2 years ago)
PAC ID
0446773444
Group Practice PAC ID
0547626228
Professional Enrollment ID
I20250331003236
Address ID
WI534065058MO5439XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

6,035 NURSE PRACTITIONER in WI

Provider Addresses for ALICIA KRELL

  • 924 MONTCLAIR DR

    RACINE, WI 534023436

    Phone: (704) 604-6752

    Type: Mailing

  • 5439 DURAND AVE STE 100

    MOUNT PLEASANT, WI 534065058

    Phone: (262) 300-4598

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250331003236INurse PractitionerWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53402)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547626228View full group profile
NameSpecialtyState
Nurse PractitionerWI
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does ALICIA KRELL share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ALICIA KRELL uses 1720892433.
Does the file indicate ALICIA KRELL is practicing under active NPI?
Directory data currently reports ALICIA KRELL as active.
What taxonomy line describes ALICIA KRELL?
For research purposes, treat ALICIA KRELL as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is ALICIA KRELL based?
ALICIA KRELL is tied to Racine, Wisconsin in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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