MS. LORI F PHELPS (PHD) – Clinical Psychologist, NPI 1063510485
Clinical Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
667 CLINICAL PSYCHOLOGIST in WI
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Provider Addresses for MS. LORI F PHELPS (PHD)
515 22ND AVE
MONROE, WI 535661569
Phone: (608) 324-1454
Type: Mailing
2910, Baskerville Avenue, Baskerville Park, Middleton, Dane County, Wisconsin, 53562, United States
MIDDLETON, WI 535621951
Phone:
Type: Mailing
Monroe Clinic Hospital, 515, 22nd Avenue, Monroe, Green County, Wisconsin, 53566, United States
MONROE, WI 535661598
Phone: (608) 324-2000
Type: Location
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.
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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: 2011-03-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110328000511 | I | Clinical Psychologist | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 255 | 36 | $0 |
Insurance plans in this area (ZIP 53566)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| - | WI | |
| P A T H O L O G Y | IL | |
| - | LA | |
| Emergency Medicine | WI | |
| A N E S T H E S I O L O G Y | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Nurse Practitioner | WI | |
| - | WI |
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