Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Shane V Moisio, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1487601720

Mr. Shane V Moisio, MD is a Psychiatry in Milwaukee, Wisconsin. Graduated from University of Cincinnati College of Medicine in 2001, 25 years ago. Practices with Mental Health Emergency Center, Inc, a 24-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
25
Trained at
University of Cincinnati College of Medicine
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1919 W North Ave Ste 200
Milwaukee, WI 53205-1101
Phone: (414) 257-7610
Fax: (414) 266-3735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 44961 (WI)

Record details

NPI number1487601720
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2006
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025
Mailing address1919 W North Ave Ste 200, Milwaukee, WI 53205-1101

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Mental Health Emergency Center, Inc. — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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