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ELIZABETH KELLY
NPI 1093409179
Social Worker - Clinical in Brookfield, WI

Active since June 02, 2023PECOS Enrolled
16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005(262) 789-1191 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Kelly NPPES

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

ELIZABETH KELLY (NPI 1093409179) is an individual clinical provider in Brookfield, Wisconsin, licensed in Wisconsin (10130123) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1093409179
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELIZABETH KELLY
Location Address16535 W BLUEMOUND RD STE 200Brookfield, WI 53005-5906
Mailing Address1235 Prairie Creek Blvd Unit 208Oconomowoc, WI 53066-8686
Phone(262) 789-1191
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 2, 2023
NPPES CertifiedJune 2, 2023
✔ NPI 1093409179 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 · 10130123
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.
16535 W BLUEMOUND RD STE 200, Brookfield, WI 53005
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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), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Kelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153834379
PECOS Enrollment IDI20250701002605
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53005 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 20

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

BRITTANY MARIE PICHETTE LPC
Counselor (Professional)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Waukesha County (262) 999-3495
NICOLE SZANIAWSKI RDN, CD
Dietitian, Registered
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Waukesha County (262) 789-1191
MS. PATRICIA MICHELLE CARRINGTON LPC
Counselor (Professional)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Waukesha County (262) 999-3495
KIRSTEN THIEMKE PHD
Psychologist (Clinical)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Waukesha County (262) 542-3255
ERICKA JOANNA SUROWANIEC LPC, CSAC, ICS
Counselor (Professional)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Waukesha County (262) 999-3495
DR. RACHEL A. ROEGLIN PSY.D.
Psychologist (Clinical)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Waukesha County (262) 789-1191
KRISTINA WILLMERING LPC
Counselor (Professional)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Waukesha County (262) 542-3255
MADELINE BLISKE PHD
Psychologist (Clinical)
16535 W BLUEMOUND RD STE 200
BROOKFIELD, WI 53005
Waukesha County (262) 789-1191

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 Elizabeth Kelly's NPI number?

The NPI number for Elizabeth Kelly is 1093409179. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Where is Elizabeth Kelly located?

Elizabeth Kelly practices at 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005. The listed phone number is (262) 789-1191.

What is Elizabeth Kelly's specialty?

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

Is Elizabeth Kelly enrolled in Medicare?

Yes. Elizabeth Kelly is registered in the Medicare PECOS enrollment system.

What insurance does Elizabeth Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Medica and Network Health and 1 other insurer list Elizabeth Kelly 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 Elizabeth Kelly was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.