ALLEAH M PYNENBERG
NPI 1669215257
Psychologist in Fond Du Lac, WI

Active since June 13, 2024PECOS EnrolledAccepts Medicare Assignment
459 E 1ST ST, FOND DU LAC, WI 54935(920) 929-3500(920) 929-3129 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alleah M Pynenberg NPPES

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

ALLEAH M PYNENBERG (NPI 1669215257) is an individual psychologist in Fond Du Lac, Wisconsin, licensed in Wisconsin (4141-57) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1669215257
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameALLEAH M PYNENBERG
Location Address459 E 1ST STFond Du Lac, WI 54935-4505
Mailing Address459 E 1st StFond Du Lac, WI 54935-4505 · (920) 929-3500 · Fax (920) 929-3129
Fax(920) 929-3129
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 13, 2024
NPPES CertifiedJune 13, 2024
✔ NPI 1669215257 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 · 4141-57
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.
459 E 1ST ST, Fond Du Lac, WI 54935

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

Alleah M Pynenberg 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 ID1951849579
PECOS Enrollment IDI20240814002314
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 Alleah Pynenberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Mental Health (Including Community Mental Health Center)
459 E 1ST ST
Fond Du Lac, WI 54935
  • Reassigned Medicare billing, Wisconsin enrollment
  • 11 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.

Counselor (Addiction (Substance Use Disorder))
459 E 1ST ST
FOND DU LAC, WI 54935
Psychologist
459 E 1ST ST
FOND DU LAC, WI 54935
Social Worker
459 E 1ST ST
FOND DU LAC, WI 54935
Physical Therapy Assistant
459 E 1ST ST
FOND DU LAC, WI 54935
Social Worker
459 E 1ST ST
FOND DU LAC, WI 54935
Occupational Therapist
459 E 1ST ST
FOND DU LAC, WI 54935
Counselor (Professional)
459 E 1ST ST
FOND DU LAC, WI 54935
Case Management
459 E 1ST ST
FOND DU LAC, WI 54935

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 Alleah Pynenberg's NPI number?

The NPI number for Alleah Pynenberg is 1669215257. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Where is Alleah Pynenberg located?

Alleah Pynenberg practices at 459 E 1st St, Fond Du Lac, WI 54935. The listed phone number is (920) 929-3500.

What is Alleah Pynenberg's specialty?

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

Is Alleah Pynenberg enrolled in Medicare?

Yes. Alleah Pynenberg 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 Alleah Pynenberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alleah Pynenberg reassigns Medicare benefits to Fond Du Lac County (Fond Du Lac, 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 Alleah Pynenberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alleah Pynenberg accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Alleah Pynenberg 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 Alleah Pynenberg was last updated on June 13, 2024. 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.