KATIE R. FASSBINDER (M.D.) – Psychiatry Physician, NPI 1710936588

KATIE R. FASSBINDER (M.D.) is a healthcare provider. based in Viroqua, Wisconsin. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. 1343-TEP (WI). The NPI Number for KATIE R. FASSBINDER (M.D.) is 1710936588

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
KATIE R. FASSBINDER (M.D.)
NPI
1710936588
Phone
(608) 638-7420
Address
210 AIRPORT RD
Enumeration Date
9 May 2006
Last Update Date
15 April 2014

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
6083260248
Graduation Year
2004 (22 years ago)
PAC ID
8325184039
Group Practice PAC ID
1456392117
Professional Enrollment ID
I20091012000083
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for KATIE R. FASSBINDER (M.D.)

  • Airport Road, Viroqua, Vernon County, Wisconsin, 54665, United States

    PO BOX 189

    VIROQUA, WI 546651159

    Phone: (608) 638-7420

    Fax: (608) 638-7429

    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: 2009-10-12

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
I20091012000083IPsychiatryWITBD

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 54665)

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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: 1456392117View full group profile
NameSpecialtyState
Nurse PractitionerWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Clinical Social WorkerWI

Reviews

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Frequently asked questions

What is the registry number for KATIE R. FASSBINDER (M.D.)?
The registry entry for KATIE R. FASSBINDER (M.D.) shows NPI 1710936588.
Does the public listing show KATIE R. FASSBINDER (M.D.) as active?
KATIE R. FASSBINDER (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does KATIE R. FASSBINDER (M.D.) provide?
KATIE R. FASSBINDER (M.D.)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KATIE R. FASSBINDER (M.D.)?
KATIE R. FASSBINDER (M.D.) is associated with Viroqua, Wisconsin in the same public data insurers reference.
Who maintains KATIE R. FASSBINDER (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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