SHELLY A GALLENBERG PH.D.
NPI 1821313859
Psychologist in Antigo, WI

Active since April 01, 2010PECOS EnrolledAccepts Medicare Assignment
1225 LANGLADE RD, ANTIGO, WI 54409(715) 627-6694(715) 627-6645 Get Directions Write a Review

NPPES record last updated: February 3, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shelly A Gallenberg Ph.d. NPPES

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

SHELLY A GALLENBERG PH.D. (NPI 1821313859) is an individual psychologist in Antigo, Wisconsin, licensed in Wisconsin (3111) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1821313859
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSHELLY A GALLENBERGCredential: PH.D.
Location Address1225 LANGLADE RDAntigo, WI 54409-2762
Mailing Address1100 Lake View DrWausau, WI 54403-6785 · (715) 848-4600 · Fax (715) 845-5398
Fax(715) 627-6645
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 1, 2010
Last NPPES UpdateFebruary 3, 2014
✔ NPI 1821313859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in WI · 3111
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 4293-125 (WI)
1225 LANGLADE RD, Antigo, WI 54409

Other Identifiers 2

Other3111WI · State License
Other4293-125WI · State License

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

Shelly A Gallenberg Ph.d. 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 ID8224272315
PECOS Enrollment IDI20130911000121
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 Shelly Gallenberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
524 BISSELL STREET
White Lake, WI 54491
  • Reassigned Medicare billing, Wisconsin enrollment
  • 118 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 19

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

Clinic/Center (Multi-Specialty)
1225 LANGLADE RD
ANTIGO, WI 54409
Counselor (Professional)
1225 LANGLADE RD
ANTIGO, WI 54409
Counselor (Professional)
1225 LANGLADE RD
ANTIGO, WI 54409
Case Management
1225 LANGLADE RD
ANTIGO, WI 54409
Counselor (Professional)
1225 LANGLADE RD
ANTIGO, WI 54409
Clinic/Center (Multi-Specialty)
1225 LANGLADE RD
ANTIGO, WI 54409
Social Worker (Clinical)
1225 LANGLADE RD
ANTIGO, WI 54409
Case Management
1225 LANGLADE RD
ANTIGO, WI 54409

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 Shelly Gallenberg's NPI number?

The NPI number for Shelly Gallenberg is 1821313859. It was assigned to this individual provider in the NPPES registry on April 1, 2010.

Where is Shelly Gallenberg located?

Shelly Gallenberg practices at 1225 Langlade Rd, Antigo, WI 54409. The listed phone number is (715) 627-6694.

What is Shelly Gallenberg's specialty?

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

Is Shelly Gallenberg enrolled in Medicare?

Yes. Shelly Gallenberg 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 Shelly Gallenberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Gallenberg reassigns Medicare benefits to The Lakes Community Health Center, Inc (White Lake, 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 Shelly Gallenberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelly Gallenberg accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Shelly Gallenberg 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 Shelly Gallenberg was last updated on February 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.