Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA R SCHROEDER PSYD
NPI 1316130404
Psychologist in Dale, WI

Active since August 22, 2007PECOS EnrolledAccepts Medicare Assignment
W9685 STATE ROAD 96, DALE, WI 54931(920) 257-4601(920) 257-4603 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2026, Apr 20, 2022 (2 updates tracked since 2022).

About Jessica R Schroeder Psyd NPPES

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

JESSICA R SCHROEDER PSYD (NPI 1316130404) is an individual psychologist in Dale, Wisconsin, licensed in Wisconsin (2881-057) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Neenah, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1316130404
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJESSICA R SCHROEDERCredential: PSYD
Location AddressW9685 STATE ROAD 96Dale, WI 54931-2305
Mailing AddressPo Box 115Dale, WI 54931-0115 · (920) 257-4601
Fax(920) 257-4603
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 22, 2007
Last NPPES UpdateOctober 14, 20262 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1316130404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in WI · 2881-057
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 ListedSocial WorkerTaxonomy 104100000X
W9685 STATE ROAD 96, Dale, WI 54931

Secondary Practice Location 1

Location 19277 Center RdNeenah, WI 54956-9519 · Phone (920) 257-4601

Other Identifiers 1

Medicaid1316130404WI

Accepted 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

Jessica R Schroeder Psyd 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 ID6204017809
PECOS Enrollment IDI20110301000878
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 Jessica Schroeder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
W9681 STATE ROAD 96
Dale, WI 54931
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3 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.

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 Jessica Schroeder's NPI number?

The NPI number for Jessica Schroeder is 1316130404. It was assigned to this individual provider in the NPPES registry on August 22, 2007.

Where is Jessica Schroeder located?

Jessica Schroeder practices at W9685 State Road 96, Dale, WI 54931. The listed phone number is (920) 257-4601.

What is Jessica Schroeder's specialty?

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

Is Jessica Schroeder enrolled in Medicare?

Yes. Jessica Schroeder 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 Jessica Schroeder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Schroeder reassigns Medicare benefits to Healthy Connections, LLC (Dale, 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 Jessica Schroeder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Schroeder accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Network Health and UnitedHealthcare list Jessica Schroeder 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 Jessica Schroeder was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.