ELIZABETH A JENSEMA LCSW
NPI 1295014199
Social Worker - Clinical in Sheboygan Falls, WI
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
Specialties & Licenses
Other Names 1
Other Identifiers 2
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
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.
Medicare Billing Reassignments
5Medicare enrollment records show Elizabeth Jensema reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Durham, NC 27701
- Reassigned Medicare billing, Wisconsin enrollment
- 63 clinicians in this Medicare group
New York, NY 10025
- Reassigned Medicare billing, Michigan enrollment
- 22 clinicians in this Medicare group
New York, NY 10025
- Reassigned Medicare billing, Iowa, Illinois, Missouri and Wisconsin enrollments
- 18 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Iowa, Illinois, Michigan, Missouri and Wisconsin enrollments
- 133 clinicians in this Medicare group
San Francisco, CA 94131
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Brightside Medical PA
- 18 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 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.
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.
Which organizations bill Medicare for Elizabeth Jensema's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Jensema reassigns Medicare benefits to 5 organizations: Mental Health Specialty Group PA (Durham, NC), Talkspace Provider Network Mi, PC (New York, NY), Talkspace Provider Network PA (New York, NY), Grow Healthcare Group PA (Miami, FL) and Brightside Medical, P.A. (San Francisco, CA). 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 Elizabeth Jensema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Jensema accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers 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 September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.
# Elizabeth A Jensema, LCSW · NPI 1295014199
Clinical provider in Sheboygan Falls, Wisconsin. Individual provider, active in the CMS NPPES registry since August 9, 2011.
## Identity
- **NPI:** 1295014199 (Entity type: Individual)
- **Enumerated:** August 9, 2011
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 8522123 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** W2228 KOENE CT, Sheboygan Falls, WI 53085-2719
- **Phone:** (920) 980-2183
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Mental Health Specialty Group PA (NPI 1801472634, Durham, NC); Talkspace Provider Network Mi, PC (NPI 1033999800, New York, NY); Talkspace Provider Network PA (NPI 1639814049, New York, NY); Grow Healthcare Group PA (NPI 1245845932, Miami, FL); Brightside Medical, P.A. (NPI 1609335660, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** September 14, 2026
- **Other identifiers:** Medicaid 1295014199 (MN); Other 1295014199
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Source: [NPI Profile](https://npiprofile.com/npi/1295014199) · Data from the CMS NPPES public registry.