Nancy Ellen Koene, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7765-123 Issued in WI

Practice address

2801 Calumet Dr
Sheboygan, WI 53083-3839

Phone

(920) 451-6908

NPI assigned

Jun 27, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nancy.koene.1@30520.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448

  WI

  Medicare reassignment Care Compare group NPD
• Nett Work Family Counseling LLC

  • Adult Mental Health Clinic/Center
  • Sheboygan, WI
  • NPI 1053406066
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1013357680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 CALUMET DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530833839",
            "telephone_number": "920-451-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CALUMET DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530833839",
            "telephone_number": "920-451-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENE",
        "first_name": "NANCY",
        "middle_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7765-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard T Knowles, DC
• Brett S Knudsen
• Lynn A Koblewski
• Casimer Kobylinski I, D. C.
• Timothy C Koch, DO
• Jacob Koepke
• Glen R Kohlhagen, OD
• Hailee Rae Kohlhagen, OD
• Taylor R Kohlhagen, DO
• Brittany Kohlmann, OTR

• Clinical Social Worker in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.