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KAY F HEIMERL LCSW
NPI 1194909614
Social Worker - Clinical in Appleton, WI

Active since December 19, 2007PECOS EnrolledAccepts Medicare Assignment
77.77/100
CMS Quality Rating
1531 S MADISON ST, SUITE 580, APPLETON, WI 54915(920) 730-4411(920) 730-4995 Get Directions Write a Review

NPPES record last updated: June 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kay F Heimerl Lcsw NPPES

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

KAY F HEIMERL LCSW (NPI 1194909614) is an individual clinical provider in Appleton, Wisconsin, licensed in Wisconsin (2140-123) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1194909614
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAY F HEIMERLCredential: LCSW
Location Address1531 S MADISON ST, SUITE 580Appleton, WI 54915-1800
Mailing Address1531 S Madison St, Suite 580Appleton, WI 54915-1800 · (920) 730-4411 · Fax (920) 730-4995
Phone(920) 730-4411
Fax(920) 730-4995
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateDecember 19, 2007
Last NPPES UpdateJune 30, 2011
✔ NPI 1194909614 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 · 2140-123
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.
1531 S MADISON ST, Appleton, WI 54915
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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, Medica, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kay F Heimerl 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.

PECOS PAC ID8224003454
PECOS Enrollment IDI20040831000686
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
137 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.47
Promoting Interoperability77
Improvement Activities40
Cost63.8

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.

KAILIE BECK ANPN, FNP-C
Nurse Practitioner (Family)
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 738-2000
MS. MICHELLE KENNEDY COENEN MS
Social Worker (Clinical)
1531 S MADISON ST, STE 550
APPLETON, WI 54915
Calumet County (920) 738-2700
ANNEMARIE UPHUS APNP, PMHNP-BC, CNM
Nurse Practitioner
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4411
DEBRA L. FRANCIOSI APNP
Nurse Practitioner (Psychiatric/Mental Health)
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4411
JENNIFER L CASTRO SAC
Counselor (Addiction (Substance Use Disorder))
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 831-8437
THOMAS G HOEFT D.O.
Orthopaedic Surgery
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 996-3700
CHRISTOPHER W WAGENER MD
Obstetrics & Gynecology
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 730-4413
DR. LEE W HASH M.D.
Orthopaedic Surgery
1531 S MADISON ST
APPLETON, WI 54915
Calumet County (920) 996-3700

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 Kay Heimerl's NPI number?

The NPI number for Kay Heimerl is 1194909614. It was assigned to this individual provider in the NPPES registry on December 19, 2007.

Where is Kay Heimerl located?

Kay Heimerl practices at 1531 S Madison St Suite 580, Appleton, WI 54915. The listed phone number is (920) 730-4411.

What is Kay Heimerl's specialty?

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

Is Kay Heimerl enrolled in Medicare?

Yes. Kay Heimerl 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.

What insurance does Kay Heimerl accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health and Security Health Plan list Kay Heimerl 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 Kay Heimerl was last updated on June 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.