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ABBEY LYNN GWINNUP LCSW
NPI 1346977758
Social Worker - Clinical in Racine, WI

Active since August 05, 2022PECOS Enrolled
601 LAKE AVE STE 101C, RACINE, WI 53403(262) 994-0920 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 29, 2022, Aug 5, 2022 (2 updates tracked since 2022).

About Abbey Lynn Gwinnup Lcsw NPPES

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

ABBEY LYNN GWINNUP LCSW (NPI 1346977758) is an individual clinical provider in Racine, Wisconsin, licensed in Wisconsin (9976) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346977758
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameABBEY LYNN GWINNUPCredential: LCSW
Location Address601 LAKE AVE STE 101CRacine, WI 53403-1249
Mailing Address6601 28th AveKenosha, WI 53143-4613 · (262) 994-0920
Phone(262) 994-0920
Sole ProprietorYes
Enumeration DateAugust 5, 2022
Last NPPES UpdateNovember 29, 20222 updates tracked since enumeration
NPPES CertifiedOctober 24, 2022
✔ NPI 1346977758 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 · 9976
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.
601 LAKE AVE STE 101C, Racine, WI 53403
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Other Names 1

Former Name (1)Abbey Lynn Schemel

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abbey Lynn Gwinnup Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Abbey Gwinnup reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension Medical Group-Southeast Wisconsin Inc
24 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000
Vitae Health Medical Wisconsin LLC
32 mi
Internal Medicine
6735 W BRADLEY RD
Milwaukee, WI 53223
  • Reassigned Medicare billing, Wisconsin enrollment
  • 25 clinicians in this Medicare group
NPI 1508483140 (224) 777-8034

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 53403 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA HIMES LPC, SAC
Counselor (Professional)
601 LAKE AVE STE 101C
RACINE, WI 53403
Racine County (612) 562-4874

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 Abbey Gwinnup's NPI number?

The NPI number for Abbey Gwinnup is 1346977758. It was assigned to this individual provider in the NPPES registry on August 5, 2022. The provider is also known as Abbey Lynn Schemel.

Where is Abbey Gwinnup located?

Abbey Gwinnup practices at 601 Lake Ave Ste 101C, Racine, WI 53403. The listed phone number is (262) 994-0920.

What is Abbey Gwinnup's specialty?

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

Is Abbey Gwinnup enrolled in Medicare?

Yes. Abbey Gwinnup is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Abbey Gwinnup's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abbey Gwinnup reassigns Medicare benefits to 2 organizations: Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI) and Vitae Health Medical Wisconsin LLC (Milwaukee, WI). 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 Abbey Gwinnup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abbey Gwinnup accept?

Health plans from Network Health list Abbey Gwinnup 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 Abbey Gwinnup was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.