SANDRA LEANN AHLQUIST MS
NPI 1457098592
Counselor - Professional in Mauston, WI

Active since May 19, 2022PECOS Enrolled
124 GRAYSIDE AVE, MAUSTON, WI 53948(608) 847-7575 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 22, 2026, May 19, 2022 (2 updates tracked since 2022).

About Sandra Leann Ahlquist Ms NPPES

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

SANDRA LEANN AHLQUIST MS (NPI 1457098592) is an individual professional provider in Mauston, Wisconsin, licensed in Wisconsin (12236-125) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1457098592
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSANDRA LEANN AHLQUISTCredential: MS
Location Address124 GRAYSIDE AVEMauston, WI 53948-1913
Mailing Address124 Grayside AveMauston, WI 53948-1913 · (608) 847-7575
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 19, 2022
Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1457098592 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 · 12236-125
124 GRAYSIDE AVE, Mauston, WI 53948

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)

Sandra Leann Ahlquist Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921586835
PECOS Enrollment IDI20260202001844
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 Sandra Ahlquist reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
124 GRAYSIDE AVE
Mauston, WI 53948
  • Reassigned Medicare billing, Wisconsin enrollment
  • 5 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 14

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

Community/Behavioral Health
124 GRAYSIDE AVE
MAUSTON, WI 53948
Counselor (Mental Health)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Counselor
124 GRAYSIDE AVE
MAUSTON, WI 53948
Counselor (Mental Health)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Counselor (Mental Health)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Counselor (Mental Health)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Social Worker (Clinical)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Counselor (Professional)
124 GRAYSIDE AVE
MAUSTON, WI 53948

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 Sandra Ahlquist's NPI number?

The NPI number for Sandra Ahlquist is 1457098592. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Where is Sandra Ahlquist located?

Sandra Ahlquist practices at 124 Grayside Ave, Mauston, WI 53948. The listed phone number is (608) 847-7575.

What is Sandra Ahlquist's specialty?

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

Is Sandra Ahlquist enrolled in Medicare?

Yes. Sandra Ahlquist is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandra Ahlquist's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Ahlquist reassigns Medicare benefits to Pine Valley Integrated Services LLC (Mauston, 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 Sandra Ahlquist's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Ahlquist accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW, Security Health Plan and UnitedHealthcare list Sandra Ahlquist 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 Sandra Ahlquist was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.