PATRICIA ANN FLANAGAN (PHD) – Clinical Psychologist, NPI 1508943366

PATRICIA ANN FLANAGAN (PHD) is a healthcare provider. based in Mequon, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 650-125 (WI). The NPI Number for PATRICIA ANN FLANAGAN (PHD) is 1508943366

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA ANN FLANAGAN (PHD)
NPI
1508943366
Phone
(262) 241-3698
Address
1017 W GLEN OAKS LN
Enumeration Date
1 November 2006
Last Update Date
8 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2622418100
Graduation Year
2002 (24 years ago)
PAC ID
1355357682
Group Practice PAC ID
5092876524
Professional Enrollment ID
I20060223000784
Address ID
WI530923477ME1045XLNXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in WI

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Provider Addresses for PATRICIA ANN FLANAGAN (PHD)

  • 1017, West Glen Oaks Lane, Mequon, Ozaukee County, Wisconsin, 53092, United States

    SUITE 201

    MEQUON, WI 530923371

    Phone: (262) 241-3698

    Fax: (262) 241-3359

    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: 2006-02-23

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
I20060223000784IClinical PsychologistWITBD

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 53092)

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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: 5092876524View full group profile
NameSpecialtyState
Nurse PractitionerWI
Clinical Social WorkerWI
Clinical Social WorkerOR
Nurse PractitionerWI
-WI
-WI
Mental Health CounselorWI
-WI
Nurse PractitionerWI
-WI

Reviews

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Frequently asked questions

Can I cross-check PATRICIA ANN FLANAGAN (PHD) using NPI 1508943366?
NPI 1508943366 belongs to PATRICIA ANN FLANAGAN (PHD); compare other details if you need extra assurance.
Active or inactive — what applies to PATRICIA ANN FLANAGAN (PHD)?
You should see PATRICIA ANN FLANAGAN (PHD) as active in CMS-hosted NPPES data.
How would a patient describe PATRICIA ANN FLANAGAN (PHD)'s focus?
For PATRICIA ANN FLANAGAN (PHD), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with PATRICIA ANN FLANAGAN (PHD)?
Directory geography for PATRICIA ANN FLANAGAN (PHD) centers on Mequon, Wisconsin.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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