Active NPI
Kelsey McNamee
- Clinical Social Worker
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9815
- Practice address
- 1531 S Madison St # 580
Appleton, WI 54915-1800 - Phone
- (920) 738-2000
- NPI assigned
- Oct 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 130958-121 | WI | |
| Clinical Social Worker | 1041C0700X | 9815 | WI | Primary |
Addresses
Primary practice location
1531 S Madison St # 580
Appleton, WI 54915-1800
Mailing address
3327 N Casaloma Dr Unit 151
Appleton, WI 54913-7914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100098112 | Medicaid | WI |
Other names 1
- Kelsey Bohnert
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1531 S Madison St
Suite 580
Appleton, WI 54915-1800
Phone (920) 730-4411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130958-121 | WI | MD | Social Worker |
| 9815 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients |
Locations
1531 S Madison St
Ste 580
Appleton, WI 54915
Phone (920) 730-4411
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
1531 S Madison St
#580
Appleton, WI 54915
Phone (920) 730-4411
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
Organizations & group practices 2
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.
-
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- Neenah, WI
- NPI 1730126392
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1104469360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3327 N CASALOMA DR UNIT 151",
"city": "APPLETON",
"state": "WI",
"postal_code": "549137914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 S MADISON ST # 580",
"city": "APPLETON",
"state": "WI",
"postal_code": "549151800",
"telephone_number": "920-738-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAMEE",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "130958-121",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "9815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100098112",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "BOHNERT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.