DR. BRANDON LOUIS NEISEWANDER (MD) – Psychiatry Physician, NPI 1396366639

DR. BRANDON LOUIS NEISEWANDER (MD) is a healthcare provider. based in Dixon, Illinois. specializing in ADDICTION MEDICINE, PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 83361-20 (WI). The NPI Number for DR. BRANDON LOUIS NEISEWANDER (MD) is 1396366639

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRANDON LOUIS NEISEWANDER (MD)
NPI
1396366639
Phone
(815) 677-4079
Address
894 CEDAR CT
Enumeration Date
28 April 2020
Last Update Date
25 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4148104844
Graduation Year
2020 (6 years ago)
PAC ID
2567885072
Group Practice PAC ID
2264476688
Professional Enrollment ID
I20250417002929
Address ID
WI531431544KE1400XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

12 ADDICTION MEDICINE in IA

Provider Addresses for DR. BRANDON LOUIS NEISEWANDER (MD)

  • 894 CEDAR CT

    DIXON, IL 610219053

    Phone: (815) 677-4079

    Type: Mailing

  • 200 HAWKINS DR

    IOWA CITY, IA 522421009

    Phone: (319) 356-1616

    Fax: (319) 356-2587

    Type: Location

  • 10012 W CAPITOL DR

    MILWAUKEE, WI 532221338

    Phone: (414) 810-4844

    Fax: (414) 810-4845

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-04-17

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
I20250417002929IPsychiatryWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3925$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 61021)

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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: 2264476688View full group profile
NameSpecialtyState
Nurse PractitionerWI
P S Y C H I A T R YWI
Nurse PractitionerWI
Mental Health CounselorWI
Nurse PractitionerWI
Mental Health CounselorWI
Mental Health CounselorIL
Nurse PractitionerWI
Mental Health CounselorWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

Does DR. BRANDON LOUIS NEISEWANDER (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. BRANDON LOUIS NEISEWANDER (MD) uses 1396366639.
Can I rely on DR. BRANDON LOUIS NEISEWANDER (MD) being an active provider?
As of the registry snapshot, DR. BRANDON LOUIS NEISEWANDER (MD) is marked active.
What healthcare role does DR. BRANDON LOUIS NEISEWANDER (MD) hold?
Scheduling teams often label DR. BRANDON LOUIS NEISEWANDER (MD) under Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. BRANDON LOUIS NEISEWANDER (MD) on a map?
Expect Dixon, Illinois as a primary anchor for DR. BRANDON LOUIS NEISEWANDER (MD) unless the record lists multiple sites.
Why does DR. BRANDON LOUIS NEISEWANDER (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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