Annette Renee Vielleux, PSY.D.
NPI 1053691105ActiveIndividual· Psychologist, Clinical· Burlington, WI
Opted out of Medicare from August 2026 to August 2028. Psychologist, Clinical (PSY.D.) in Burlington, Wisconsin, licensed in WI, with an NPI issued in August 2011. Medicare paid $19,051 for services to 18 patients in 2024.
Overview
| NPI | 1053691105 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | Aug 21, 2011 |
| Last updated in NPPES | Dec 10, 2025 |
| Certified by provider | Dec 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 3365-57 | WI |
| Counselor, Professional | 101YP2500X | 5466-125 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Aug 13, 2026 – Aug 13, 2028 |
| Can order and refer | No |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 222 across 4 procedure codes |
| Paid by Medicare | $19,051 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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