MELISSA KETNER LSW
NPI 1316140379
Social Worker - Clinical in Naperville, IL
About Melissa Ketner Lsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA KETNER LSW (NPI 1316140379) is an individual clinical provider in Naperville, Illinois, licensed in Indiana (34005637A) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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
Melissa Ketner Lsw 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 Melissa Ketner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plainfield, IL 60585
- Reassigned Medicare billing, Indiana enrollment
- 10 clinicians in this Medicare group
Carmel, IN 46032
- Reassigned Medicare billing, Indiana enrollment
- 135 clinicians in this Medicare group
Coral Gables, FL 33134
- Reassigned Medicare billing, Indiana enrollment
- 14 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 60540 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NAPERVILLE, IL 60540
NAPERVILLE, IL 60540
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 Melissa Ketner's NPI number?
The NPI number for Melissa Ketner is 1316140379. It was assigned to this individual provider in the NPPES registry on June 7, 2007.
Where is Melissa Ketner located?
Melissa Ketner practices at 50 S Main St Ste 200, Naperville, IL 60540. The listed phone number is (800) 525-9202.
What is Melissa Ketner's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Melissa Ketner enrolled in Medicare?
Yes. Melissa Ketner 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 Melissa Ketner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Ketner reassigns Medicare benefits to 3 organizations: Bmsc Az LLC (Plainfield, IL), Seven Hills Ob-Gyn Associates LLC (Carmel, IN) and Sailor Health Medical PA (Coral Gables, FL). 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 Melissa Ketner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melissa Ketner accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Melissa Ketner 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 Melissa Ketner was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Melissa Ketner, LSW · NPI 1316140379
Clinical provider in Naperville, Illinois. Individual provider, active in the CMS NPPES registry since June 7, 2007.
## Identity
- **NPI:** 1316140379 (Entity type: Individual)
- **Enumerated:** June 7, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 34005637A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 S MAIN ST STE 200, Naperville, IL 60540-5485
- **Phone:** (800) 525-9202
## 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): Bmsc Az LLC (NPI 1497201875, Plainfield, IL); Seven Hills Ob-Gyn Associates LLC (NPI 1396350187, Carmel, IN); Sailor Health Medical PA (NPI 1841012960, Coral Gables, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** August 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1316140379) · Data from the CMS NPPES public registry.