SHELBY ANN BRANDSMA (LCSW) – Clinical Social Worker, NPI 1992458376
Clinical Social Worker
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,447 CLINICAL SOCIAL WORKER in WI
Provider Addresses for SHELBY ANN BRANDSMA (LCSW)
N6631 THOMPSON RD
BEAVER DAM, WI 539169411
Phone: (920) 296-0611
Type: Mailing
111 E WASHINGTON ST
WEST BEND, WI 530952571
Phone: (262) 338-2717
Type: Location
111 E Washington St
West Bend, WI 530952571
Phone: (262) 338-2717
Type: Location
1000 N OAK AVE
MARSHFIELD, WI 544495703
Phone: (715) 387-5511
Type: Mailing
707 S UNIVERSITY AVE
BEAVER DAM, WI 539163027
Phone: (920) 356-6558
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: 2022-03-17
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 |
|---|---|---|---|---|
| I20220317001541 | I | Clinical Social Worker | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53916)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | UT | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | WI | |
| - | IA | |
| Orthopedic Surgery | WI | |
| - | WI | |
| Infectious Disease, Internal Medicine | WI | |
| Physician Assistant | WI | |
| Family Practice | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI |
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