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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: October 25, 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 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, UnitedHealthcare.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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Miranda Fassbender reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Amery Regional Medical Center, Inc.
0.4 mi
Critical Access
265 GRIFFIN ST E
Amery, WI 54001
  • Reassigned Medicare billing, Wisconsin enrollment
  • 348 clinicians in this Medicare group
NPI 1093763518 (715) 268-8000
Ladd Memorial Hospital
16 mi
Critical Access
2600 65TH AVE
Osceola, WI 54020
  • Reassigned Medicare billing, Wisconsin enrollment
  • 170 clinicians in this Medicare group
NPI 1467560227 (715) 294-2111

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.

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.

Which organizations bill Medicare for Miranda Fassbender's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miranda Fassbender reassigns Medicare benefits to 2 organizations: Amery Regional Medical Center, Inc. (Amery, WI) and Ladd Memorial Hospital (Osceola, WI). Each 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 Miranda Fassbender's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miranda Fassbender accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners 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.

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.