Individual provider Active NPI

Melissa Hetchler

  • Social Worker
  • Sturgeon Bay, WI
National Provider Identifier
1942907951
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
131974-121 Issued in WI
Practice address
421 Nebraska St
Sturgeon Bay, WI 54235-2225
Phone
(920) 746-7155
NPI assigned
Feb 9, 2023
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 131974-121 WI Primary

Addresses

Primary practice location

421 Nebraska St
Sturgeon Bay, WI 54235-2225

Mailing address

E886 County Road K
Luxemburg, WI 54217-8446
Phone (262) 623-8077

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240426001647 WI Practitioner - Clinical Social Worker 8527408327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Door County Memorial HospitalGroup PAC ID 5395735088, 85 clinicians

Practice addresses (Care Compare)

323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 743-5566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
131974-121WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Door County Memorial Hospital CurrentSince Feb 24, 2026 Accepting new patients
County of Door-Door County Library CurrentSince Mar 18, 2024 Accepting new patients
County of Door-Door County Library CurrentSince Mar 18, 2024 Accepting new patients
Door County Memorial Hospital CurrentSince Feb 24, 2026 Accepting new patients

Locations

323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566

421 Nebraska St
Sturgeon Bay, WI 54235
Phone (920) 746-2345

421 Nebraska St
Fl 2
Sturgeon Bay, WI 54235

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1942907951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E886 COUNTY ROAD K",
            "city": "LUXEMBURG",
            "state": "WI",
            "postal_code": "542178446",
            "telephone_number": "262-623-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 NEBRASKA ST",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352225",
            "telephone_number": "920-746-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETCHLER",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "131974-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgeon Bay, WI

Sources for this page

Verify at the official NPI Registry.