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JODI LORENE WADDELL
NPI 1972272755
Counselor - Professional in Mauston, WI

Active since September 07, 2021PECOS Enrolled
124 GRAYSIDE AVE, MAUSTON, WI 53948(608) 847-7575(608) 847-3096 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 23, 2026, Sep 7, 2021 (2 updates tracked since 2021).

About Jodi Lorene Waddell NPPES

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

JODI LORENE WADDELL (NPI 1972272755) is an individual professional provider in Mauston, Wisconsin, licensed in Wisconsin (12209-125) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1972272755
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJODI LORENE WADDELL
Location Address124 GRAYSIDE AVEMauston, WI 53948-1913
Mailing AddressS6908 Missel RdDe Soto, WI 54624-6350 · (608) 790-1967
Phone(608) 847-7575
Fax(608) 847-3096
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 7, 2021
Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1972272755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 12209-125
124 GRAYSIDE AVE, Mauston, WI 53948
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 (PECOS)

Jodi Lorene Waddell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143708792
PECOS Enrollment IDI20260204000679
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 Jodi Waddell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pine Valley Integrated Services LLC
Same address
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 14

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

PINE VALLEY INTEGRATED SERVICES LLC
Community/Behavioral Health
124 GRAYSIDE AVE
MAUSTON, WI 53948
Juneau County (608) 847-7575
TERESA LYNN JACOBSON MSW, LSW, CAPSW
Counselor (Mental Health)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Juneau County (608) 847-7575
CRISSY L LOBERMIER
Counselor
124 GRAYSIDE AVE
MAUSTON, WI 53948
Juneau County (608) 847-7575
MICHELLE LAVONNE FLOERSCH
Counselor (Mental Health)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Juneau County (608) 433-5888
BRAM CHRISTIAN FALEDAS MS-LPC
Counselor (Mental Health)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Juneau County (608) 847-7575
IAM POOL VALDEZ ESPINOZA
Counselor (Mental Health)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Juneau County (608) 847-5575
ROBERTA A BRONECKI LCSW
Social Worker (Clinical)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Juneau County (608) 847-7575
MISS GENEVIEVE HELEN GEFFERT LPC
Counselor (Professional)
124 GRAYSIDE AVE
MAUSTON, WI 53948
Juneau County (608) 847-7575

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 Jodi Waddell's NPI number?

The NPI number for Jodi Waddell is 1972272755. It was assigned to this individual provider in the NPPES registry on September 7, 2021.

Where is Jodi Waddell located?

Jodi Waddell practices at 124 Grayside Ave, Mauston, WI 53948. The listed phone number is (608) 847-7575.

What is Jodi Waddell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jodi Waddell enrolled in Medicare?

Yes. Jodi Waddell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jodi Waddell's services?

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

What insurance does Jodi Waddell accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW, Quartz and Security Health Plan list Jodi Waddell 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 Jodi Waddell was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.