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MARY T PAULI LCPC
NPI 1073148656
Counselor - Mental Health in Edgerton, WI

Active since March 04, 2020PECOS EnrolledAccepts Medicare Assignment
111 W FULTON ST, EDGERTON, WI 53534(608) 561-6614(608) 561-6642 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2025, Mar 4, 2020 (2 updates tracked since 2020).

About Mary T Pauli Lcpc NPPES

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

MARY T PAULI LCPC (NPI 1073148656) is an individual mental health provider in Edgerton, Wisconsin, licensed in Wisconsin (7545-125) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1073148656
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY T PAULICredential: LCPC
Location Address111 W FULTON STEdgerton, WI 53534-1876
Mailing Address11101 N Sherman RdEdgerton, WI 53534-9002 · (608) 884-3441
Phone(608) 561-6614
Fax(608) 561-6642
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 4, 2020
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1073148656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in WI · 7545-125✔ Licensed in IL · 180.010034
111 W FULTON ST, Edgerton, WI 53534
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary T Pauli Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547603029
PECOS Enrollment IDI20240212003662
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 Mary Pauli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edgerton Hospital And Health Services Inc
Same address
Podiatrist
111 W FULTON ST
Edgerton, WI 53534
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1154350049 (Wisconsin)
  • 70 clinicians in this Medicare group
NPI 1083310908 (608) 884-3441

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 2

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

EDGERTON HOSPITAL AND HEALTH SERVICES INC
Podiatrist
111 W FULTON ST
EDGERTON, WI 53534
Rock County (608) 884-3441
KRYSTAL LUCAS LCSW, MSW, CAPSW
Social Worker (Clinical)
111 W FULTON ST
EDGERTON, WI 53534
Rock County (608) 561-6614

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 Mary Pauli's NPI number?

The NPI number for Mary Pauli is 1073148656. It was assigned to this individual provider in the NPPES registry on March 4, 2020.

Where is Mary Pauli located?

Mary Pauli practices at 111 W Fulton St, Edgerton, WI 53534. The listed phone number is (608) 561-6614.

What is Mary Pauli's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mary Pauli enrolled in Medicare?

Yes. Mary Pauli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mary Pauli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Pauli reassigns Medicare benefits to Edgerton Hospital And Health Services Inc (Edgerton, 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 Mary Pauli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Pauli accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW, MercyCare and MercyCare Health Plans and 1 other insurer list Mary Pauli 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 Mary Pauli was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.