TYLER THOMPSON SMITH LCSW
NPI 1093401929
Social Worker - Clinical in Juneau, WI
About Tyler Thompson Smith Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER THOMPSON SMITH LCSW (NPI 1093401929) is an individual clinical provider in Juneau, Wisconsin, licensed in Wisconsin (12097-123) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Tyler Thompson Smith Lcsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Tyler Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Juneau, WI 53039
- Reassigned Medicare billing, Wisconsin enrollment
- 14 clinicians in this Medicare group
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 53039 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JUNEAU, WI 53039
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 Tyler Smith's NPI number?
The NPI number for Tyler Smith is 1093401929. It was assigned to this individual provider in the NPPES registry on April 13, 2023.
Where is Tyler Smith located?
Tyler Smith practices at 199 County Df, Juneau, WI 53039. The listed phone number is (920) 386-3500.
What is Tyler Smith's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Tyler Smith enrolled in Medicare?
Yes. Tyler Smith 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 Tyler Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Smith reassigns Medicare benefits to County Of Dodge (Juneau, 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 Tyler Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Smith accept?
Health plans from Dean Health Plan, Network Health, Quartz, Security Health Plan and UnitedHealthcare list Tyler Smith 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 Tyler Smith was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.
# Tyler Thompson Smith, LCSW · NPI 1093401929
Clinical provider in Juneau, Wisconsin. Individual provider, active in the CMS NPPES registry since April 13, 2023.
## Identity
- **NPI:** 1093401929 (Entity type: Individual)
- **Enumerated:** April 13, 2023
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 12097-123 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 199 COUNTY DF, Juneau, WI 53039-9512
- **Phone:** (920) 386-3500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** County Of Dodge (NPI 1871508515, Juneau, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1093401929) · Data from the CMS NPPES public registry.