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CARMEN MENGISTU
NPI 1063238574
Social Worker - Clinical in Madison, WI

Active since November 29, 2024PECOS EnrolledAccepts Medicare Assignment
2901 W BELTLINE HWY STE 301, MADISON, WI 53713(608) 236-4460 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carmen Mengistu NPPES

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

CARMEN MENGISTU (NPI 1063238574) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (7384-123) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1063238574
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARMEN MENGISTU
Location Address2901 W BELTLINE HWY STE 301Madison, WI 53713-4228
Mailing Address3110 Todd DrMadison, WI 53713-2922 · (612) 232-9646
Phone(608) 236-4460
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 29, 2024
NPPES CertifiedNovember 29, 2024
✔ NPI 1063238574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 7384-123
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.
2901 W BELTLINE HWY STE 301, Madison, WI 53713
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and more.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

Carmen Mengistu 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 ID9335669761
PECOS Enrollment IDI20250227003975
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 Reassignment

Medicare enrollment records show Carmen Mengistu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornerstone Counseling Services, Inc
66 mi
Mental Health
16535 W BLUEMOUND RD, SUITE 200
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 556 clinicians in this Medicare group
NPI 1033127246 (262) 789-1191

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 53713 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 10

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

ALEXANDRA IVERSON MS MFT
Marriage & Family Therapist
2901 W BELTLINE HWY STE 301
MADISON, WI 53713
Dane County (608) 515-5549
MARIA A BUTTS LCSW
Social Worker (Clinical)
2901 W BELTLINE HWY STE 301
MADISON, WI 53713
Dane County (414) 429-8744
MEGHAN S CONNORS LPC
Counselor (Professional)
2901 W BELTLINE HWY STE 301
MADISON, WI 53713
Dane County (608) 236-4460
TERESA JANE BAY LPC
Counselor (Professional)
2901 W BELTLINE HWY STE 301
MADISON, WI 53713
Dane County (262) 999-3495
JUSTIN CHANDLER WEIS LPC
Counselor (Professional)
2901 W BELTLINE HWY STE 301
MADISON, WI 53713
Dane County (262) 999-3495
DR. KEVIN JAMES KAVANAUGH PSY.D.
Psychologist (Clinical)
2901 W BELTLINE HWY STE 301
MADISON, WI 53713
Dane County (262) 999-3495
ALEXIS ELIN FLIEHS MSN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2901 W BELTLINE HWY STE 301
MADISON, WI 53713
Dane County (608) 235-4460
MONIKA ZAWADZKA APNP
Nurse Practitioner (Psychiatric/Mental Health)
2901 W BELTLINE HWY STE 301
MADISON, WI 53713
Dane County (262) 999-3495

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 Carmen Mengistu's NPI number?

The NPI number for Carmen Mengistu is 1063238574. It was assigned to this individual provider in the NPPES registry on November 29, 2024.

Where is Carmen Mengistu located?

Carmen Mengistu practices at 2901 W Beltline Hwy Ste 301, Madison, WI 53713. The listed phone number is (608) 236-4460.

What is Carmen Mengistu's specialty?

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

Is Carmen Mengistu enrolled in Medicare?

Yes. Carmen Mengistu 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 organization bills Medicare for Carmen Mengistu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Mengistu reassigns Medicare benefits to Cornerstone Counseling Services, Inc (Brookfield, WI). The 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 Carmen Mengistu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Mengistu accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Network Health and 2 other insurers list Carmen Mengistu 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 Carmen Mengistu was last updated on November 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.