Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexandra N Collard, PMHNP-BC

Individual provider Nurse Practitioner · NPI 1154033272

Alexandra N Collard, PMHNP-BC is a Nurse Practitioner in Fond Du Lac, Wisconsin. Qualified in 2022, 4 years ago. Practices with Agnesian Healthcare Inc, a 390-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

430 E Division St
Fond Du Lac, WI 54935-4560
Phone: (920) 923-7940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 845 Parkside St, Ripon, WI 54971-8505 — (920) 748-7000

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2022096964 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 13493-33 (WI)

Record details

NPI number1154033272
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedDecember 20, 2022
Last updated in NPPESMarch 13, 2023
Certification dateMarch 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Agnesian Healthcare Inc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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