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MISTY BUDZINSKI LCSW
NPI 1851865018
Social Worker - Clinical in Middleton, WI

Active since January 21, 2019PECOS Enrolled
582 FARGO TRL, MIDDLETON, WI 53562(608) 216-4374(608) 716-3148 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 2, 2021, Jan 21, 2019 (2 updates tracked since 2019).

About Misty Budzinski Lcsw NPPES

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

MISTY BUDZINSKI LCSW (NPI 1851865018) is an individual clinical provider in Middleton, Wisconsin, licensed in Wisconsin (9086-123) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1851865018
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISTY BUDZINSKICredential: LCSW
Location Address582 FARGO TRLMiddleton, WI 53562
Mailing Address5310 Mathews Rd Apt 7Middleton, WI 53562-2448 · (608) 284-0844
Phone(608) 216-4374
Fax(608) 716-3148
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 21, 2019
Last NPPES UpdateJune 2, 20212 updates tracked since enumeration
NPPES CertifiedMay 17, 2021
✔ NPI 1851865018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 9086-123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
582 FARGO TRL, Middleton, WI 53562
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misty Budzinski Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537573738
PECOS Enrollment IDI20210129001457
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 Reassignments

2

Medicare enrollment records show Misty Budzinski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Andromeda Wellness Center Inc
Same address
Clinical
582 FARGO TRL
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
NPI 1144894494 (608) 216-4374
Abg Wellness Group Inc
76 mi
Community/Behavioral Health
11414 W PARK PL STE 202
Milwaukee, WI 53224
  • Reassigned Medicare billing, Wisconsin enrollment
  • 39 clinicians in this Medicare group
NPI 1184087389 (414) 292-7060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53562 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

ANDROMEDA WELLNESS CENTER INC
Social Worker (Clinical)
582 FARGO TRL
MIDDLETON, WI 53562
Dane County (608) 216-4374

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 Misty Budzinski's NPI number?

The NPI number for Misty Budzinski is 1851865018. It was assigned to this individual provider in the NPPES registry on January 21, 2019.

Where is Misty Budzinski located?

Misty Budzinski practices at 582 Fargo Trl, Middleton, WI 53562. The listed phone number is (608) 216-4374.

What is Misty Budzinski's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Misty Budzinski enrolled in Medicare?

Yes. Misty Budzinski is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Misty Budzinski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misty Budzinski reassigns Medicare benefits to 2 organizations: Andromeda Wellness Center Inc (Middleton, WI) and Abg Wellness Group Inc (Milwaukee, WI). Each 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 Misty Budzinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Misty Budzinski was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.