STEPHEN UMHOEFER
NPI 1558017103
Counselor - Professional in Menasha, WI
About Stephen Umhoefer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN UMHOEFER (NPI 1558017103) is an individual professional provider in Menasha, Wisconsin, licensed in Wisconsin (10747) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Neenah, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Stephen Umhoefer 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 Reassignment
Medicare enrollment records show Stephen Umhoefer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Menasha, WI 54952
- Reassigned Medicare billing, Wisconsin enrollment
- 988 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
MENASHA, WI 54952
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 Stephen Umhoefer's NPI number?
The NPI number for Stephen Umhoefer is 1558017103. It was assigned to this individual provider in the NPPES registry on February 22, 2022.
Where is Stephen Umhoefer located?
Stephen Umhoefer practices at 1095 Midway Rd, Menasha, WI 54952. The listed phone number is (920) 720-2300.
What is Stephen Umhoefer's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Stephen Umhoefer enrolled in Medicare?
Yes. Stephen Umhoefer 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 Stephen Umhoefer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Umhoefer reassigns Medicare benefits to Thedacare, Incorporated (Menasha, 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 Stephen Umhoefer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephen Umhoefer accept?
Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Quartz and 1 other insurer list Stephen Umhoefer 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 Stephen Umhoefer was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Stephen Umhoefer · NPI 1558017103
Professional provider in Menasha, Wisconsin. Individual provider, active in the CMS NPPES registry since February 22, 2022.
## Identity
- **NPI:** 1558017103 (Entity type: Individual)
- **Enumerated:** February 22, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 10747 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1095 MIDWAY RD, Menasha, WI 54952-1115
- **Phone:** (920) 720-2300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thedacare, Incorporated (NPI 1306959515, Menasha, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1558017103) · Data from the CMS NPPES public registry.