KIMBERLY ANN SANDSTROM LPC
NPI 1538568910
Counselor - Professional in De Pere, WI
About Kimberly Ann Sandstrom Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY ANN SANDSTROM LPC (NPI 1538568910) is an individual professional provider in De Pere, Wisconsin, licensed in Wisconsin (4736-125) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Kimberly Ann Sandstrom Lpc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Sandstrom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
De Pere, WI 54115
- Reassigned Medicare billing, Wisconsin enrollment
- 106 clinicians in this Medicare group
De Pere, WI 54115
- Reassigned Medicare billing, Wisconsin enrollment
- 875 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DE PERE, WI 54115
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 Kimberly Sandstrom's NPI number?
The NPI number for Kimberly Sandstrom is 1538568910. It was assigned to this individual provider in the NPPES registry on August 21, 2014.
Where is Kimberly Sandstrom located?
Kimberly Sandstrom practices at 555 Redbird Cir, De Pere, WI 54115. The listed phone number is (920) 338-6830.
What is Kimberly Sandstrom's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kimberly Sandstrom enrolled in Medicare?
Yes. Kimberly Sandstrom 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 Kimberly Sandstrom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Sandstrom reassigns Medicare benefits to 2 organizations: Bellin Psychiatric Center Inc (De Pere, WI) and Bellin Memorial Hospital Inc (De Pere, 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 Kimberly Sandstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Sandstrom accept?
Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and UnitedHealthcare list Kimberly Sandstrom 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 Kimberly Sandstrom was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kimberly Ann Sandstrom, LPC · NPI 1538568910
Professional provider in De Pere, Wisconsin. Individual provider, active in the CMS NPPES registry since August 21, 2014.
## Identity
- **NPI:** 1538568910 (Entity type: Individual)
- **Enumerated:** August 21, 2014
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 4736-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 555 REDBIRD CIR, De Pere, WI 54115-7977
- **Phone:** (920) 338-6830 · **Fax:** (920) 338-6879
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Bellin Psychiatric Center Inc (NPI 1144283318, De Pere, WI); Bellin Memorial Hospital Inc (NPI 1235192592, De Pere, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** June 18, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1538568910) · Data from the CMS NPPES public registry.