SHELBY ANN BRANDSMA LCSW
NPI 1992458376
Social Worker - Clinical in Beaver Dam, WI

Active since January 27, 2022PECOS EnrolledAccepts Medicare Assignment
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916(920) 356-6558 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2026, Nov 24, 2025, Mar 12, 2025 and 3 more (6 updates tracked since 2022).

About Shelby Ann Brandsma Lcsw NPPES

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

SHELBY ANN BRANDSMA LCSW (NPI 1992458376) is an individual clinical provider in Beaver Dam, Wisconsin, licensed in Wisconsin (9862-123) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Bend, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1992458376
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELBY ANN BRANDSMACredential: LCSW
Location Address707 S UNIVERSITY AVEBeaver Dam, WI 53916-3027
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 27, 2022
Last NPPES UpdateJanuary 27, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1992458376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 9862-123
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 9862 (WI)
707 S UNIVERSITY AVE, Beaver Dam, WI 53916

Secondary Practice Location 1

Location 1111 E Washington StWest Bend, WI 53095-2571 · Phone (262) 338-2717 ext. 210

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

Shelby Ann Brandsma Lcsw 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 ID8022403625
PECOS Enrollment IDI20220317001541
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

7

Medicare enrollment records show Shelby Brandsma reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
Multi-Specialty
111 E WASHINGTON ST
West Bend, WI 53095
  • Reassigned Medicare billing, Wisconsin enrollment
  • 33 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Clinical Medical Laboratory
216 SUNSET PL, MEMORIAL HOSPITAL, INC
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,283 clinicians in this Medicare group
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53916 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 20

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

General Acute Care Hospital
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Physician Assistant
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Anesthesiology
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Physical Therapist
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Nurse Anesthetist, Certified Registered
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Internal Medicine
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Dietitian, Registered
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
Nurse Anesthetist, Certified Registered
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916

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 Shelby Brandsma's NPI number?

The NPI number for Shelby Brandsma is 1992458376. It was assigned to this individual provider in the NPPES registry on January 27, 2022.

Where is Shelby Brandsma located?

Shelby Brandsma practices at 707 S University Ave, Beaver Dam, WI 53916. The listed phone number is (920) 356-6558.

What is Shelby Brandsma's specialty?

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

Is Shelby Brandsma enrolled in Medicare?

Yes. Shelby Brandsma 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 organizations bill Medicare for Shelby Brandsma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Brandsma reassigns Medicare benefits to 7 organizations: Beaver Dam Community Hospitals Inc (Beaver Dam, WI), Affiliated Clinical Services Inc (West Bend, WI), Mchs Hospitals, Inc. (Plover, WI), Marshfield Clinic Inc (Marshfield, WI), Memorial Hospital, Inc (Neillsville, WI) and 2 more organizations, listed in the Medicare section above. 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 Shelby Brandsma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Brandsma accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners, Network Health and Quartz and 1 other insurer list Shelby Brandsma 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 Shelby Brandsma was last updated on January 27, 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.