AMANDA JOANN DEGNER LPC
NPI 1043849698
Counselor - Professional in Glendale, WI

Active since April 06, 2020PECOS Enrolled
4655 N PORT WASHINGTON RD, GLENDALE, WI 53212(414) 266-3339(414) 247-1875 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Amanda Joann Degner Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA JOANN DEGNER LPC (NPI 1043849698) is an individual professional provider in Glendale, Wisconsin, licensed in Wisconsin (8772-125) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043849698
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA JOANN DEGNERCredential: LPC
Location Address4655 N PORT WASHINGTON RDGlendale, WI 53212-1004
Mailing Address4655 N Port Washington RdGlendale, WI 53212-1004 · (414) 266-3339 · Fax (414) 247-1875
Fax(414) 247-1875
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 6, 2020
Last NPPES UpdateMarch 17, 2022
NPPES CertifiedMarch 17, 2022
✔ NPI 1043849698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in WI · 8772-125✔ Licensed in WI · 4352-226
4655 N PORT WASHINGTON RD, Glendale, WI 53212

Other Names 1

Other Name (5)Mandi Degner Lpc-it

Other Identifiers 1

Medicaid19842654WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Joann Degner Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274093810
PECOS Enrollment IDI20260903000304
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Degner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1461 W MAIN ST STE B
Whitewater, WI 53190
  • Reassigned Medicare billing, Wisconsin enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
4655 N PORT WASHINGTON RD, SUITE 100
GLENDALE, WI 53212
Obstetrics & Gynecology
4655 N PORT WASHINGTON RD, SUITE 100
GLENDALE, WI 53212
Nurse Practitioner (Family)
4655 N PORT WASHINGTON RD, SUITE 325
GLENDALE, WI 53212
Counselor (Professional)
4655 N PORT WASHINGTON RD
GLENDALE, WI 53212
Counselor (Professional)
4655 N PORT WASHINGTON RD
MILWAUKEE, WI 53212
Nurse Practitioner (Family)
4655 N PORT WASHINGTON RD, STE 325
GLENDALE, WI 53212
Physical Therapist
4655 N PORT WASHINGTON RD
GLENDALE, WI 53212
Physical Therapist
4655 N PORT WASHINGTON RD
GLENDALE, WI 53212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Degner's NPI number?

The NPI number for Amanda Degner is 1043849698. It was assigned to this individual provider in the NPPES registry on April 6, 2020. The provider is also known as Mandi Degner Lpc-It.

Where is Amanda Degner located?

Amanda Degner practices at 4655 N Port Washington Rd, Glendale, WI 53212. The listed phone number is (414) 266-3339.

What is Amanda Degner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Amanda Degner enrolled in Medicare?

Yes. Amanda Degner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Degner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Degner reassigns Medicare benefits to Rock River Community Clinic Inc (Whitewater, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Degner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Degner accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare) and Quartz list Amanda Degner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Degner was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.