DEANNA BOETTCHER (MS) – Mental Health Counselor, NPI 1164050662

DEANNA BOETTCHER (MS) is a healthcare provider. based in Hutchinson, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS. The NPI Number for DEANNA BOETTCHER (MS) is 1164050662

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DEANNA BOETTCHER (MS)
NPI
1164050662
Phone
Not provided
Address
225 3RD AVE NW
Enumeration Date
30 March 2020
Last Update Date
24 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206325524
Graduation Year
2019 (7 years ago)
PAC ID
6800246786
Group Practice PAC ID
5597833525
Professional Enrollment ID
I20240122001874
Address ID
MN553502481HU16XXXWXXX401

Contacts

Secure Messaging
Deanna.boettcher@serenitymentalhealthservices.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness85
Years active:6State licenses:0Other namesUpdated within 12 months

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for DEANNA BOETTCHER (MS)

  • 225 3RD AVE NW

    HUTCHINSON, MN 553501623

    Phone:

    Type: Mailing

  • 16 WASHINGTON AVE W STE 101

    HUTCHINSON, MN 553502481

    Phone: (320) 632-5524

    Fax: (888) 991-2741

    Type: Mailing

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: 2024-01-22

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
I20240122001874IMental Health CounselorMNTBD

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 55350)

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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: 5597833525View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Clinical PsychologistMN
-MN
Mental Health CounselorMN
Mental Health CounselorND
Clinical Social WorkerMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Mental Health CounselorMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Is DEANNA BOETTCHER (MS) listed with a National Provider Identifier?
Yes — DEANNA BOETTCHER (MS) has NPI 1164050662 on file in the registry.
Is DEANNA BOETTCHER (MS) shown as active in public data?
Registry records indicate DEANNA BOETTCHER (MS) maintains an active NPI.
What area of care is associated with DEANNA BOETTCHER (MS)?
DEANNA BOETTCHER (MS)'s record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with DEANNA BOETTCHER (MS)?
Directory geography for DEANNA BOETTCHER (MS) centers on Hutchinson, Minnesota.
When was this NPI issued?
Enumeration for DEANNA BOETTCHER (MS) is noted as March 30, 2020 where the registry provides it.

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