MELISSA R PETESCH LSCSW
NPI 1063773505
Social Worker in Clay Center, KS

Q: What is Melissa Petesch's NPI number?

The NPI number for Melissa Petesch is 1063773505. It was assigned to this individual provider in the NPPES registry on May 31, 2012.

Q: What is Melissa Petesch's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Melissa Petesch enrolled in Medicare?

No. Melissa Petesch has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Melissa Petesch was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 31, 2012Opted out of Medicare · through Jul 1, 2028

805 5TH ST, CLAY CENTER, KS 67432(785) 630-8556 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jan 7, 2026, Feb 18, 2020 (2 updates tracked since 2020).

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About Melissa R Petesch Lscsw NPPES

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

MELISSA R PETESCH LSCSW (NPI 1063773505) is an individual social worker in Clay Center, Kansas, licensed in Kansas (8648) and active in the NPI registry since May 2012. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1063773505

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMELISSA R PETESCHCredential: LSCSW

Location Address805 5TH STClay Center, KS 67432-2502

Mailing Address805 5th StClay Center, KS 67432-2502 · (785) 630-8556

Phone(785) 630-8556

Sole ProprietorYes

Enumeration DateMay 31, 2012

Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2026

✔ NPI 1063773505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in KS · 8648

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCommunity Health WorkerTaxonomy 172V00000X

805 5TH ST, Clay Center, KS 67432

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Melissa R Petesch Lscsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Melissa Petesch's NPI number?

The NPI number for Melissa Petesch is 1063773505. It was assigned to this individual provider in the NPPES registry on May 31, 2012.

Where is Melissa Petesch located?

Melissa Petesch practices at 805 5th St, Clay Center, KS 67432. The listed phone number is (785) 630-8556.

What is Melissa Petesch's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Melissa Petesch enrolled in Medicare?

No. Melissa Petesch has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Melissa Petesch accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Providence Health Plan list Melissa Petesch 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 Melissa Petesch was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.