ANDRE NEITZEL – Clinical Social Worker, NPI 1093194078

ANDRE NEITZEL is a healthcare provider. based in Westminster, Colorado. specializing in Clinical Social Worker. They hold a License No. 0009920096 (CO). The NPI Number for ANDRE NEITZEL is 1093194078

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
ANDRE NEITZEL
NPI
1093194078
Phone
(720) 505-6843
Address
3520 W 92ND AVE
Enumeration Date
24 May 2015
Last Update Date
26 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034296600
Graduation Year
2012 (14 years ago)
PAC ID
4082918529
Group Practice PAC ID
4082907258
Professional Enrollment ID
I20160524000082
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for ANDRE NEITZEL

  • 3520 W 92ND AVE

    STE 104

    WESTMINSTER, CO 800313304

    Phone: (720) 505-6843

    Mailing address matches the actual address.

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: 2016-05-24

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
I20160524000082IClinical Social WorkerCOTBD

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 80031)

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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: 4082907258View full group profile

Reviews

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Frequently asked questions

What number should I use to identify ANDRE NEITZEL for billing?
Administrative and clinical systems typically use NPI 1093194078 for ANDRE NEITZEL.
Quick check: is ANDRE NEITZEL active?
Public NPPES data shows ANDRE NEITZEL with an active NPI status right now.
What type of care does ANDRE NEITZEL provide?
ANDRE NEITZEL's profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What city is tied to ANDRE NEITZEL?
The directory associates ANDRE NEITZEL with Westminster, Colorado. Check all listed addresses for suites or satellite offices.
Who maintains ANDRE NEITZEL's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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