DR. WILLIAM J. SCHMELZER PHD
NPI 1558496984
Psychologist in Wausau, WI

Active since February 23, 2007PECOS EnrolledAccepts Medicare Assignment
84.55/100
CMS Quality Rating
910 MCINDOE ST, WAUSAU, WI 54403(715) 699-0751 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 28, 2020, Jan 22, 2020 (2 updates tracked since 2020).

About Dr. William J. Schmelzer Phd NPPES

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

DR. WILLIAM J. SCHMELZER PHD (NPI 1558496984) is an individual psychologist in Wausau, Wisconsin, licensed in Wisconsin (2021) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1558496984
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. WILLIAM J. SCHMELZERCredential: PHD
Location Address910 MCINDOE STWausau, WI 54403-4975
Mailing AddressPo Box 416Wausau, WI 54402-0416 · (715) 699-0751
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateFebruary 23, 2007
Last NPPES UpdateFebruary 28, 20202 updates tracked since enumeration
✔ NPI 1558496984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in WI · 2021
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
910 MCINDOE ST, Wausau, WI 54403

Other Identifiers 1

Medicaid39120300WI

Accepted 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

Dr. William J. Schmelzer Phd 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 ID4183759194
PECOS Enrollment IDI20100320000088
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.

Areas of Expertise CMS Part B claims

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.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
11 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.81
Promoting Interoperability100
Improvement Activities40
Cost53.8

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 William Schmelzer's NPI number?

The NPI number for William Schmelzer is 1558496984. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is William Schmelzer located?

William Schmelzer practices at 910 Mcindoe St, Wausau, WI 54403. The listed phone number is (715) 699-0751.

What is William Schmelzer's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is William Schmelzer enrolled in Medicare?

Yes. William Schmelzer 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 William Schmelzer accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Security Health Plan and UnitedHealthcare list William Schmelzer 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 William Schmelzer was last updated on February 28, 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.