SHANNON D FENCEROY
NPI 1154911352
Counselor - Professional in Waukesha, WI

Active since January 21, 2021PECOS Enrolled
514 RIVERVIEW AVE, WAUKESHA, WI 53188(262) 548-7212 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2026, Jan 21, 2021 (2 updates tracked since 2021).

About Shannon D Fenceroy NPPES

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

SHANNON D FENCEROY (NPI 1154911352) is an individual professional provider in Waukesha, Wisconsin, licensed in Wisconsin (7924) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154911352
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANNON D FENCEROY
Location Address514 RIVERVIEW AVEWaukesha, WI 53188-3631
Mailing Address5306 W Goodrich LnMilwaukee, WI 53223-3646 · (414) 839-7414
Sole ProprietorYes
Enumeration DateJanuary 21, 2021
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1154911352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 7924
514 RIVERVIEW AVE, Waukesha, WI 53188

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)

Shannon D Fenceroy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Shannon Fenceroy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
16535 W BLUEMOUND RD, SUITE 200
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 556 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 20

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

Registered Nurse
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Case Manager/Care Coordinator
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Social Worker (Clinical)
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Case Manager/Care Coordinator
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Case Manager/Care Coordinator
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Case Manager/Care Coordinator
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Case Management
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Social Worker
514 RIVERVIEW AVE
WAUKESHA, WI 53188

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 Shannon Fenceroy's NPI number?

The NPI number for Shannon Fenceroy is 1154911352. It was assigned to this individual provider in the NPPES registry on January 21, 2021.

Where is Shannon Fenceroy located?

Shannon Fenceroy practices at 514 Riverview Ave, Waukesha, WI 53188. The listed phone number is (262) 548-7212.

What is Shannon Fenceroy's specialty?

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

Is Shannon Fenceroy enrolled in Medicare?

Yes. Shannon Fenceroy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Fenceroy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Fenceroy reassigns Medicare benefits to Cornerstone Counseling Services, Inc (Brookfield, 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 Shannon Fenceroy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Fenceroy accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Network Health and 2 other insurers list Shannon Fenceroy 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 Shannon Fenceroy was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.