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ELIZABETH A JENSEMA LCSW
NPI 1295014199
Social Worker - Clinical in Sheboygan Falls, WI

Active since August 09, 2011PECOS EnrolledAccepts Medicare Assignment
W2228 KOENE CT, SHEBOYGAN FALLS, WI 53085(920) 980-2183 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2026, Mar 31, 2023 (2 updates tracked since 2023).

About Elizabeth A Jensema Lcsw NPPES

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

ELIZABETH A JENSEMA LCSW (NPI 1295014199) is an individual clinical provider in Sheboygan Falls, Wisconsin, licensed in Wisconsin (8522123) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1295014199
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELIZABETH A JENSEMACredential: LCSW
Location AddressW2228 KOENE CTSheboygan Falls, WI 53085-2719
Mailing AddressW2228 Koene CtSheboygan Falls, WI 53085-2719 · (920) 980-2183
Phone(920) 980-2183
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 9, 2011
Last NPPES UpdateJanuary 16, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1295014199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WI · 8522123✔ Licensed in IA · 129924✔ Licensed in MI · 6801118078✔ Licensed in IL · 149015714✔ Licensed in MO · 2024013540
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.
W2228 KOENE CT, Sheboygan Falls, WI 53085
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Other Names 1

Former Name (1)Elizabeth A Fichtner

Other Identifiers 2

Medicaid1295014199MN
Other1295014199Bcbs Mn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Medica, Providence Health Plan 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

Elizabeth A Jensema 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 ID4587836390
PECOS Enrollment IDI20241217001253
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53085 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.

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 Elizabeth Jensema's NPI number?

The NPI number for Elizabeth Jensema is 1295014199. It was assigned to this individual provider in the NPPES registry on August 9, 2011. The provider is also known as Elizabeth A Fichtner.

Where is Elizabeth Jensema located?

Elizabeth Jensema practices at W2228 Koene Ct, Sheboygan Falls, WI 53085. The listed phone number is (920) 980-2183.

What is Elizabeth Jensema's specialty?

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

Is Elizabeth Jensema enrolled in Medicare?

Yes. Elizabeth Jensema 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 Elizabeth Jensema accept?

Health plans from Blue Cross and Blue Shield of Texas, Medica, Providence Health Plan and UnitedHealthcare list Elizabeth Jensema 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 Elizabeth Jensema was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.