AMANDA MARGARET REWOLDT M.S.
NPI 1255990446
Psychologist in Madison, WI

Active since June 11, 2019PECOS EnrolledAccepts Medicare Assignment
2202 S PARK ST, MADISON, WI 53713(608) 443-5480(608) 443-5534 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2022, Jul 29, 2020, Jun 11, 2019 (3 updates tracked since 2019).

About Amanda Margaret Rewoldt M.s. NPPES

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

AMANDA MARGARET REWOLDT M.S. (NPI 1255990446) is an individual psychologist in Madison, Wisconsin, licensed in Wisconsin (4106) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1255990446
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameAMANDA MARGARET REWOLDTCredential: M.S.
Location Address2202 S PARK STMadison, WI 53713-1916
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 443-5534
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 11, 2019
Last NPPES UpdateNovember 14, 20223 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
NPI 1255990446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 4106
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 4195-226 (WI)
2202 S PARK ST, Madison, WI 53713

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda Margaret Rewoldt M.s. 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 ID8224405253
PECOS Enrollment IDI20221104000694
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.

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.

Nurse Practitioner
2202 S PARK ST, SUITE 400
MADISON, WI 53713
Advanced Practice Midwife
2202 S PARK ST
MADISON, WI 53713
Internal Medicine
2202 S PARK ST
MADISON, WI 53713
Social Worker
2202 S PARK ST
MADISON, WI 53713
Social Worker
2202 S PARK ST
MADISON, WI 53713
Dental Hygienist
2202 S PARK ST
MADISON, WI 53713
Dentist
2202 S PARK ST
MADISON, WI 53713
Nutritionist (Nutrition, Education)
2202 S PARK ST
MADISON, WI 53713

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 Rewoldt's NPI number?

The NPI number for Amanda Rewoldt is 1255990446. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Where is Amanda Rewoldt located?

Amanda Rewoldt practices at 2202 S Park St, Madison, WI 53713. The listed phone number is (608) 443-5480.

What is Amanda Rewoldt's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Amanda Rewoldt enrolled in Medicare?

Yes. Amanda Rewoldt 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.

What insurance does Amanda Rewoldt accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Medica and Quartz list Amanda Rewoldt 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 Rewoldt was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.