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ANDREW SCHMITZ SAC
NPI 1780064956
Counselor - Mental Health in Friendship, WI

Active since June 03, 2015PECOS Enrolled
302 W LAKE ST, FRIENDSHIP, WI 53934(608) 474-4355(608) 474-4309 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 18, 2019, Oct 21, 2016, Aug 11, 2016 (3 updates tracked since 2016).

About Andrew Schmitz Sac NPPES

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

ANDREW SCHMITZ SAC (NPI 1780064956) is an individual mental health provider in Friendship, Wisconsin, licensed in Wisconsin (3234-226) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Baraboo, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1780064956
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANDREW SCHMITZCredential: SAC
Location Address302 W LAKE STFriendship, WI 53934
Mailing AddressPo Box 1440Wautoma, WI 54982-1440 · (920) 787-5514 · Fax (920) 787-4737
Phone(608) 474-4355
Fax(608) 474-4309
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 3, 2015
Last NPPES UpdateJanuary 18, 20193 updates tracked since enumeration
✔ NPI 1780064956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in WI · 3234-226✔ Licensed in WI · 3234-228
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 16085-132 (WI)
302 W LAKE ST, Friendship, WI 53934
Open in Google Maps ↗

Secondary Practice Location 1

Location 1414 Broadway StBaraboo, WI 53913-2488 · Phone (608) 402-4312 ext. 208

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Quartz, Security Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Schmitz Sac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416494000
PECOS Enrollment IDI20240731003330
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 Andrew Schmitz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pine Valley Integrated Services LLC
18 mi
Community/Behavioral Health
124 GRAYSIDE AVE
Mauston, WI 53948
  • Reassigned Medicare billing, Wisconsin enrollment
  • 5 clinicians in this Medicare group
NPI 1013375104 (608) 847-7575

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 4

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

CHRISTOPHER MICHAEL HOFFMAN
Counselor (Professional)
302 W LAKE ST
FRIENDSHIP, WI 53934
Adams County (800) 942-5330
KRISTEN KIMBLE HOUSLET LPC
Counselor (Professional)
302 W LAKE ST
FRIENDSHIP, WI 53934
Adams County (608) 474-4355
PAULA SQUIER SAC-IT
Counselor (Addiction (Substance Use Disorder))
302 W LAKE ST
FRIENDSHIP, WI 53934
Adams County (608) 474-4355
SCOTT ALAN ETHUN LCSW
Social Worker
302 W LAKE ST
FRIENDSHIP, WI 53934
Adams County (608) 474-4355

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 Andrew Schmitz's NPI number?

The NPI number for Andrew Schmitz is 1780064956. It was assigned to this individual provider in the NPPES registry on June 3, 2015.

Where is Andrew Schmitz located?

Andrew Schmitz practices at 302 W Lake St, Friendship, WI 53934. The listed phone number is (608) 474-4355.

What is Andrew Schmitz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Andrew Schmitz enrolled in Medicare?

Yes. Andrew Schmitz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrew Schmitz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Schmitz 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 Andrew Schmitz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Schmitz accept?

Health plans from Anthem Blue Cross and Blue Shield, Quartz, Security Health Plan and UnitedHealthcare list Andrew Schmitz 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 Andrew Schmitz was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.