1. Home
  2. Directory
  3. Wisconsin
  4. Sheboygan
  5. Counselor
  6. NPI Profile

MS. RAQUEL O MEDRANO
NPI 1861036295
Counselor - Mental Health in Sheboygan, WI

Active since October 29, 2019PECOS EnrolledAccepts Medicare Assignment
503 WISCONSIN AVE STE 2, SHEBOYGAN, WI 53081(920) 458-5726(920) 458-5826 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 10, 2021, Oct 29, 2019 (2 updates tracked since 2019).

About Ms. Raquel O Medrano NPPES

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

MS. RAQUEL O MEDRANO (NPI 1861036295) is an individual mental health provider in Sheboygan, Wisconsin, licensed in Wisconsin (4465-226) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1861036295
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. RAQUEL O MEDRANO
Location Address503 WISCONSIN AVE STE 2Sheboygan, WI 53081-4147
Mailing Address800 Wisconsin AveRacine, WI 53403-1526 · (262) 637-8888 · Fax (262) 637-0695
Phone(920) 458-5726
Fax(920) 458-5826
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 29, 2019
Last NPPES UpdateMay 10, 20212 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1861036295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 4465-226
503 WISCONSIN AVE STE 2, Sheboygan, WI 53081
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW 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 and accepts Medicare assignment

Ms. Raquel O Medrano 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 ID5193245439
PECOS Enrollment IDI20250218000514
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 Raquel Medrano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakeside Counseling Center, LLC
90 mi
Mental Health
5325 WALL ST STE 2555
Madison, WI 53718
  • Reassigned Medicare billing, Wisconsin enrollment
  • 24 clinicians in this Medicare group
NPI 1215443882 (608) 889-7173

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

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 Raquel Medrano's NPI number?

The NPI number for Raquel Medrano is 1861036295. It was assigned to this individual provider in the NPPES registry on October 29, 2019.

Where is Raquel Medrano located?

Raquel Medrano practices at 503 Wisconsin Ave Ste 2, Sheboygan, WI 53081. The listed phone number is (920) 458-5726.

What is Raquel Medrano's specialty?

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

Is Raquel Medrano enrolled in Medicare?

Yes. Raquel Medrano 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 Raquel Medrano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raquel Medrano reassigns Medicare benefits to Lakeside Counseling Center, LLC (Madison, 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 Raquel Medrano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raquel Medrano accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 2 other insurers list Raquel Medrano 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 Raquel Medrano was last updated on May 10, 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.