JENNIFER L EVANCY APSW
NPI 1154486876
Social Worker - Clinical in Racine, WI

Active since December 22, 2006PECOS Enrolled
1143 WARWICK WAY, RACINE, WI 53406(262) 977-9290 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer L Evancy Apsw NPPES

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

JENNIFER L EVANCY APSW (NPI 1154486876) is an individual clinical provider in Racine, Wisconsin, licensed in Wisconsin (8650-123) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154486876
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER L EVANCYCredential: APSW
Location Address1143 WARWICK WAYRacine, WI 53406-5661
Mailing Address800 Goold StRacine, WI 53402-4567 · (262) 638-2000 · Fax (262) 638-2006
Sole ProprietorNo
Enumeration DateDecember 22, 2006
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1154486876 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 · 8650-123
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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 17601-130 (WI)
1143 WARWICK WAY, Racine, WI 53406

Other Identifiers 1

Medicaid391442732WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer L Evancy Apsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jennifer Evancy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
2108 63RD ST
Kenosha, WI 53143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 72 clinicians in this Medicare group
Mental Health
16535 W BLUEMOUND RD, SUITE 200
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 556 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 53406 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 2

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

Counselor (Professional)
1143 WARWICK WAY
RACINE, WI 53406
Durable Medical Equipment & Medical Supplies
1143 WARWICK WAY
RACINE, WI 53406

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 Jennifer Evancy's NPI number?

The NPI number for Jennifer Evancy is 1154486876. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Jennifer Evancy located?

Jennifer Evancy practices at 1143 Warwick Way, Racine, WI 53406. The listed phone number is (262) 977-9290.

What is Jennifer Evancy's specialty?

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

Is Jennifer Evancy enrolled in Medicare?

Yes. Jennifer Evancy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Evancy's services?

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

What insurance does Jennifer Evancy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 7 other insurers list Jennifer Evancy 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 Jennifer Evancy was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.