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TRACY PEDERSON
NPI 1144897604
Social Worker - Clinical in Madison, WI

Active since June 04, 2021PECOS Enrolled
2021 ATWOOD AVE, MADISON, WI 53704(608) 244-4859 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tracy Pederson NPPES

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

TRACY PEDERSON (NPI 1144897604) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (8875-123) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1144897604
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTRACY PEDERSON
Location Address2021 ATWOOD AVEMadison, WI 53704-5324
Mailing Address865 Willow Brook TrlSun Prairie, WI 53590-3454 · (608) 318-0086
Phone(608) 244-4859
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 4, 2021
NPPES CertifiedJune 4, 2021
✔ NPI 1144897604 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 · 8875-123
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.
2021 ATWOOD AVE, Madison, WI 53704
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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, Dean Health Plan, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8022407436
PECOS Enrollment IDI20211104003207
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 Reassignment

Medicare enrollment records show Tracy Pederson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Insight Counseling & Wellness, LLC
0.1 mi
Mental Health (Including Community Mental Health Center)
1943 WINNEBAGO ST
Madison, WI 53704
  • Reassigned Medicare billing, Wisconsin enrollment
  • 36 clinicians in this Medicare group
NPI 1447673702 (082) 444-8596

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 53704 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

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

MATTHEW HERRMANN LPC-IT
Counselor (Mental Health)
2021 ATWOOD AVE
MADISON, WI 53704
Dane County (608) 244-4859

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 Tracy Pederson's NPI number?

The NPI number for Tracy Pederson is 1144897604. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Where is Tracy Pederson located?

Tracy Pederson practices at 2021 Atwood Ave, Madison, WI 53704. The listed phone number is (608) 244-4859.

What is Tracy Pederson's specialty?

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

Is Tracy Pederson enrolled in Medicare?

Yes. Tracy Pederson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracy Pederson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Pederson reassigns Medicare benefits to Insight Counseling & Wellness, LLC (Madison, 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 Tracy Pederson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracy Pederson accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and Quartz list Tracy Pederson 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 Tracy Pederson was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.