ANNELIESE VANDRE – Mental Health Counselor, NPI 1588042683

ANNELIESE VANDRE is a healthcare provider. based in Mauston, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 2515-226 (WI). The NPI Number for ANNELIESE VANDRE is 1588042683

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
ANNELIESE VANDRE
NPI
1588042683
Phone
Not provided
Address
N4624 51ST ST
Enumeration Date
11 May 2015
Last Update Date
11 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6082852133
Graduation Year
2011 (15 years ago)
PAC ID
0446775381
Group Practice PAC ID
9032631957
Professional Enrollment ID
I20250423001421
Address ID
WI539481450MA522XXAVEX302
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

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for ANNELIESE VANDRE

  • N4624 51ST ST

    MAUSTON, WI 539489510

    Phone:

    Type: Mailing

  • 348 E MAIN ST

    REEDSBURG, WI 539591940

    Phone: (608) 843-3229

    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.

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: 2025-04-23

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
I20250423001421IMental Health CounselorWITBD

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 53948)

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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: 9032631957View full group profile
NameSpecialtyState
Mental Health CounselorWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for ANNELIESE VANDRE?
ANNELIESE VANDRE — NPI 1588042683 — is the standard way to identify this listing.
Is ANNELIESE VANDRE still practicing?
ANNELIESE VANDRE is currently listed as active in the public NPI registry.
What is ANNELIESE VANDRE best known for clinically?
Directory data describes ANNELIESE VANDRE with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is ANNELIESE VANDRE based?
ANNELIESE VANDRE is tied to Mauston, Wisconsin in the data we show; additional addresses may exist on the full record.
Is the information about ANNELIESE VANDRE up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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