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MIRANDA MARIE FASSBENDER
NPI 1356681308
Counselor - Professional in Amery, WI

Active since February 27, 2013PECOS EnrolledAccepts Medicare Assignment
230 DERONDA ST, AMERY, WI 54001(715) 268-8000 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2019, Sep 27, 2016, Sep 18, 2016 and 1 more (4 updates tracked since 2015).

About Miranda Marie Fassbender NPPES

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

MIRANDA MARIE FASSBENDER (NPI 1356681308) is an individual professional provider in Amery, Wisconsin, licensed in Wisconsin (5640.125) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, is affiliated with Amery Hospital & Clinic, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1356681308
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMIRANDA MARIE FASSBENDER
Location Address230 DERONDA STAmery, WI 54001-1412
Mailing Address2265 Como AveSaint Paul, MN 55108-1737 · (651) 645-5323 · Fax (651) 379-6141
Phone(715) 268-8000
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 27, 2013
Last NPPES UpdateFebruary 11, 20194 updates tracked since enumeration
✔ NPI 1356681308 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 · 5640.125✔ Licensed in MN · 1887
230 DERONDA ST, Amery, WI 54001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.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

Miranda Marie Fassbender 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 ID9638521032
PECOS Enrollment IDI20240122003283
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521308
Location265 Griffin Street EastAmery, WI 54001 · Polk County
Emergency services Birthing friendly

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.

DR. LAURA J. WRENN PHD
Social Worker (Clinical)
230 DERONDA ST
AMERY, WI 54001
Polk County (715) 268-8000
EMILY JANE SCHUELLER AAS, SACIT
Counselor (Addiction (Substance Use Disorder))
230 DERONDA ST
AMERY, WI 54001
Polk County (715) 268-0060
HEIDI JO STAUFFER CAPSW
Social Worker (Clinical)
230 DERONDA ST
AMERY, WI 54001
Polk County (715) 268-0074
FRANCES R TROWBRIDGE LCSW, CSAC
Social Worker (Clinical)
230 DERONDA ST
AMERY, WI 54001
Polk County (715) 268-8000
KIMBERLEY D THOMPSON LCSW
Social Worker (Clinical)
230 DERONDA ST
AMERY, WI 54001
Polk County (715) 268-8000
GREGORY H. GARVES LCSW
Social Worker (Clinical)
230 DERONDA ST
AMERY, WI 54001
Polk County (715) 268-8000
ASHLEY HINZMAN SAC
Counselor (Addiction (Substance Use Disorder))
230 DERONDA ST
AMERY, WI 54001
Polk County (715) 268-0060
THERESA BRIGGS LCSW
Social Worker (Clinical)
230 DERONDA ST
AMERY, WI 54001
Polk County (715) 268-0060

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 Miranda Fassbender's NPI number?

The NPI number for Miranda Fassbender is 1356681308. It was assigned to this individual provider in the NPPES registry on February 27, 2013.

Where is Miranda Fassbender located?

Miranda Fassbender practices at 230 Deronda St, Amery, WI 54001. The listed phone number is (715) 268-8000.

What is Miranda Fassbender's specialty?

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

Is Miranda Fassbender enrolled in Medicare?

Yes. Miranda Fassbender 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 Miranda Fassbender accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and UnitedHealthcare list Miranda Fassbender 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.

Is Miranda Fassbender affiliated with any hospitals?

According to CMS data, Miranda Fassbender is affiliated with Amery Hospital & Clinic.

When was this NPI record last updated?

The NPPES record for Miranda Fassbender was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.