DEBRA JEAN WENTZ MSW LCSW CADCIII
NPI 1164524237
Social Worker - Clinical in Sheboygan, WI
About Debra Jean Wentz Msw Lcsw Cadciii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEBRA JEAN WENTZ MSW LCSW CADCIII (NPI 1164524237) is an individual clinical provider in Sheboygan, Wisconsin, licensed in Wisconsin (6921123) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Debra Jean Wentz Msw Lcsw Cadciii 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 Reassignments
3Medicare enrollment records show Debra Wentz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sheboygan, WI 53083
- Reassigned Medicare billing, Wisconsin enrollment
- 10 clinicians in this Medicare group
Manitowoc, WI 54220
- Reassigned Medicare billing, Wisconsin enrollment
- 10 clinicians in this Medicare group
Yakima, WA 98902
- Reassigned Medicare billing, Washington enrollment
- 82 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 53081 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHEBOYGAN, WI 53081
SHEBOYGAN, WI 53081
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 Debra Wentz's NPI number?
The NPI number for Debra Wentz is 1164524237. It was assigned to this individual provider in the NPPES registry on September 1, 2006.
Where is Debra Wentz located?
Debra Wentz practices at 2414 Kohler Memorial Dr, Sheboygan, WI 53081. The listed phone number is (920) 457-4461.
What is Debra Wentz's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Debra Wentz enrolled in Medicare?
Yes. Debra Wentz 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 Debra Wentz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Debra Wentz reassigns Medicare benefits to 3 organizations: Nett Work Family Counseling LLC (Sheboygan, WI), Core Treatment Services, Inc. (Manitowoc, WI) and Comprehensive Healthcare (Yakima, WA). 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 Debra Wentz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Debra Wentz accept?
Health plans from CareSource (Common Ground Healthcare), HealthPartners, Network Health and Quartz list Debra Wentz 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 Debra Wentz was last updated on March 17, 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.
# Debra Jean Wentz, MSW LCSW CADCIII · NPI 1164524237
Clinical provider in Sheboygan, Wisconsin. Individual provider, active in the CMS NPPES registry since September 1, 2006.
## Identity
- **NPI:** 1164524237 (Entity type: Individual)
- **Enumerated:** September 1, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6921123 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2414 KOHLER MEMORIAL DR, Sheboygan, WI 53081-3129
- **Phone:** (920) 457-4461 · **Fax:** (920) 459-1483
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Nett Work Family Counseling LLC (NPI 1053406066, Sheboygan, WI); Core Treatment Services, Inc. (NPI 1659912319, Manitowoc, WI); Comprehensive Healthcare (NPI 1073527453, Yakima, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** March 17, 2021
- **Other identifiers:** Medicaid 39331400 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1164524237) · Data from the CMS NPPES public registry.