ANNA ENGELMANN MCELWAIN
NPI 1093472672
Social Worker - Clinical in West Allis, WI

Active since November 18, 2021PECOS EnrolledAccepts Medicare Assignment
1205 S 70TH ST STE 301, WEST ALLIS, WI 53214(414) 475-2788 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anna Engelmann Mcelwain NPPES

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

ANNA ENGELMANN MCELWAIN (NPI 1093472672) is an individual clinical provider in West Allis, Wisconsin, licensed in Wisconsin (12777-123) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093472672
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANNA ENGELMANN MCELWAIN
Location Address1205 S 70TH ST STE 301West Allis, WI 53214-3171
Mailing Address1205 S 70th St Ste 301West Allis, WI 53214-3171 · (414) 475-2788
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 18, 2021
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
✔ NPI 1093472672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 12777-123
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 132487-121 (WI)
1205 S 70TH ST STE 301, West Allis, WI 53214

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

Anna Engelmann Mcelwain 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 ID2668955402
PECOS Enrollment IDI20260310004480
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 Anna Mcelwain reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
7251 W NORTH AVE # 6
Wauwatosa, WI 53213
  • Reassigned Medicare billing, Wisconsin enrollment
  • 5 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2108 63RD ST
Kenosha, WI 53143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 72 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 53214 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 7

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

Counselor (Professional)
1205 S 70TH ST STE 301
WEST ALLIS, WI 53214
Social Worker
1205 S 70TH ST STE 301
WEST ALLIS, WI 53214
Student in an Organized Health Care Education/Training Program
1205 S 70TH ST STE 301
WEST ALLIS, WI 53214
Psychologist
1205 S 70TH ST STE 301
WEST ALLIS, WI 53214
Social Worker (Clinical)
1205 S 70TH ST STE 301
WEST ALLIS, WI 53214
Psychologist (Clinical)
1205 S 70TH ST STE 301
WEST ALLIS, WI 53214
Social Worker
1205 S 70TH ST STE 301, STE 301
WEST ALLIS, WI 53214

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 Anna Mcelwain's NPI number?

The NPI number for Anna Mcelwain is 1093472672. It was assigned to this individual provider in the NPPES registry on November 18, 2021.

Where is Anna Mcelwain located?

Anna Mcelwain practices at 1205 S 70th St Ste 301, West Allis, WI 53214. The listed phone number is (414) 475-2788.

What is Anna Mcelwain's specialty?

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

Is Anna Mcelwain enrolled in Medicare?

Yes. Anna Mcelwain 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 Anna Mcelwain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Mcelwain reassigns Medicare benefits to 2 organizations: Honey Creek Counseling LLC (Wauwatosa, WI) and Professional Services Group, Inc. (Kenosha, WI). 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 Anna Mcelwain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anna Mcelwain accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and MercyCare and 4 other insurers list Anna Mcelwain 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 Anna Mcelwain was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.