NICOLE M KAISER LCSW
NPI 1184051807
Social Worker - Clinical in Fennimore, WI
About Nicole M Kaiser Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE M KAISER LCSW (NPI 1184051807) is an individual clinical provider in Fennimore, Wisconsin, licensed in Wisconsin (9685-123) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Nicole M Kaiser Lcsw 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 Nicole Kaiser reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fennimore, WI 53809
- Reassigned Medicare billing, Wisconsin enrollment
- 5 clinicians in this Medicare group
Dubuque, IA 52001
- Reassigned Medicare billing, Iowa enrollment
- 4 clinicians in this Medicare group
Clarkston, MI 48346
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Richard Kneip Phd PC
- 44 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 53809 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nicole Kaiser's NPI number?
The NPI number for Nicole Kaiser is 1184051807. It was assigned to this individual provider in the NPPES registry on September 27, 2013. The provider is also known as Nicole M Bastis.
Where is Nicole Kaiser located?
Nicole Kaiser practices at 1160 Lincoln Ave, Fennimore, WI 53809. The listed phone number is (608) 822-5052.
What is Nicole Kaiser's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Nicole Kaiser enrolled in Medicare?
Yes. Nicole Kaiser 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 Nicole Kaiser's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Kaiser reassigns Medicare benefits to 3 organizations: Gtn Fennimore, Inc. (Fennimore, WI), Midwest Counseling Associates, Inc. (Dubuque, IA) and Richard Kneip, Ph.D., P.C. (Clarkston, MI). 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 Nicole Kaiser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Kaiser accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW, Oscar Insurance Company and Quartz and 2 other insurers list Nicole Kaiser 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 Nicole Kaiser was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Nicole M Kaiser, LCSW · NPI 1184051807
Clinical provider in Fennimore, Wisconsin. Individual provider, active in the CMS NPPES registry since September 27, 2013.
## Identity
- **NPI:** 1184051807 (Entity type: Individual)
- **Enumerated:** September 27, 2013
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 9685-123 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1160 LINCOLN AVE, Fennimore, WI 53809-1746
- **Phone:** (608) 822-5052 · **Fax:** (608) 776-4914
## 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): Gtn Fennimore, Inc. (NPI 1306251640, Fennimore, WI); Midwest Counseling Associates, Inc. (NPI 1427848886, Dubuque, IA); Richard Kneip, Ph.D., P.C. (NPI 1679739700, Clarkston, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 30, 2024
- **Other identifiers:** Medicaid 80727 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1184051807) · Data from the CMS NPPES public registry.