1. Home
  2. Directory
  3. Wisconsin
  4. Green Bay
  5. Counselor
  6. NPI Profile

MRS. TRICIA ANN KERKER LPC
NPI 1063796506
Counselor - Professional in Green Bay, WI

Active since October 03, 2011PECOS EnrolledAccepts Medicare Assignment
480 PILGRIM WAY # 1300-A, GREEN BAY, WI 54304(920) 610-5119(920) 610-5120 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2021, Nov 24, 2020 (2 updates tracked since 2020).

About Mrs. Tricia Ann Kerker Lpc NPPES

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

MRS. TRICIA ANN KERKER LPC (NPI 1063796506) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (4678) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1063796506
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. TRICIA ANN KERKERCredential: LPC
Location Address480 PILGRIM WAY # 1300-AGreen Bay, WI 54304-5280
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Phone(920) 610-5119
Fax(920) 610-5120
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 3, 2011
Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1063796506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 4678
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 15606-131 (WI)
480 PILGRIM WAY # 1300-A, Green Bay, WI 54304
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Security Health Plan.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

Mrs. Tricia Ann Kerker Lpc 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 ID5597118554
PECOS Enrollment IDI20240126000894, I20240906003791
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 Reassignments

2

Medicare enrollment records show Tricia Kerker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nystrom & Associates Counseling Wi., S.C.
166 mi
Mental Health (Including Community Mental Health Center)
201 MAIN ST STE 500
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Nystrom & Associates Counseling Wi Sc
  • 133 clinicians in this Medicare group
NPI 1659977866 (651) 379-1750
Nystrom & Associates, Ltd
257 mi
Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group
NPI 1396750188 (651) 628-9566

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

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

HOLLIE C SMET LPC
Counselor (Professional)
480 PILGRIM WAY # 1300-A
GREEN BAY, WI 54304
Brown County (920) 610-5119
DR. KIMBERLY K WALKER-DANIELS DNP-PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
480 PILGRIM WAY # 1300-A
GREEN BAY, WI 54304
Brown County (920) 610-5119
MISS KERRY A TALBERT NP
Nurse Practitioner (Psychiatric/Mental Health)
480 PILGRIM WAY # 1300-A
GREEN BAY, WI 54304
Brown County (920) 610-5119
STEPHANIE M KREGEL-FORBES MSE, LPC
Counselor (Professional)
480 PILGRIM WAY # 1300-A
GREEN BAY, WI 54304
Brown County (920) 610-5119
ABIGAIL RUSSELL LCSW
Social Worker (Clinical)
480 PILGRIM WAY # 1300-A
GREEN BAY, WI 54304
Brown County (920) 610-5119
AUTUMN MARIE SCHLEIS LPC
Counselor (Professional)
480 PILGRIM WAY # 1300-A
GREEN BAY, WI 54304
Brown County (920) 610-5119
MS. LAUREN ELIZABETH GIDLEY MSE, LPC, SAC-IT
Counselor (Mental Health)
480 PILGRIM WAY # 1300-A
GREEN BAY, WI 54304
Brown County (920) 610-5119
MASON E VANROSSUM LPC
Counselor (Professional)
480 PILGRIM WAY # 1300-A
GREEN BAY, WI 54304
Brown County (920) 610-5119

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 Tricia Kerker's NPI number?

The NPI number for Tricia Kerker is 1063796506. It was assigned to this individual provider in the NPPES registry on October 3, 2011.

Where is Tricia Kerker located?

Tricia Kerker practices at 480 Pilgrim Way # 1300-A, Green Bay, WI 54304. The listed phone number is (920) 610-5119.

What is Tricia Kerker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tricia Kerker enrolled in Medicare?

Yes. Tricia Kerker 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 organizations bill Medicare for Tricia Kerker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tricia Kerker reassigns Medicare benefits to 2 organizations: Nystrom & Associates Counseling Wi., S.C. (La Crosse, WI) and Nystrom & Associates, Ltd (New Brighton, MN). Each 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 Tricia Kerker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tricia Kerker accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Security Health Plan list Tricia Kerker 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 Tricia Kerker was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.