EMILY WIERSMA LCSW
NPI 1265174007
Social Worker - Clinical in Madison, WI
About Emily Wiersma Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILY WIERSMA LCSW (NPI 1265174007) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (9885-123) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Emily Wiersma 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 Reassignment
Medicare enrollment records show Emily Wiersma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, WI 53719
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Mental Health Solutions Sc
- 21 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 53719 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MADISON, WI 53719
MADISON, WI 53719
MADISON, WI 53719
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 Emily Wiersma's NPI number?
The NPI number for Emily Wiersma is 1265174007. It was assigned to this individual provider in the NPPES registry on April 12, 2022.
Where is Emily Wiersma located?
Emily Wiersma practices at 7633 Ganser Way Ste 204, Madison, WI 53719. The listed phone number is (608) 829-1800.
What is Emily Wiersma's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Emily Wiersma enrolled in Medicare?
Yes. Emily Wiersma 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 organization bills Medicare for Emily Wiersma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emily Wiersma reassigns Medicare benefits to Mental Health Solutions, S.C. (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 Emily Wiersma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Emily Wiersma accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and Quartz list Emily Wiersma 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 Emily Wiersma was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Emily Wiersma, LCSW · NPI 1265174007
Clinical provider in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since April 12, 2022.
## Identity
- **NPI:** 1265174007 (Entity type: Individual)
- **Enumerated:** April 12, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 9885-123 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 7633 GANSER WAY STE 204, Madison, WI 53719-2092
- **Phone:** (608) 829-1800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mental Health Solutions, S.C. (NPI 1548320146, Madison, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1265174007) · Data from the CMS NPPES public registry.