RACHEL C SPRANGER LCSW
NPI 1376120279
Social Worker - Clinical in Kenosha, WI
About Rachel C Spranger Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHEL C SPRANGER LCSW (NPI 1376120279) is an individual clinical provider in Kenosha, Wisconsin, licensed in Wisconsin (11310-123) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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 (PECOS)
Rachel C Spranger Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rachel Spranger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kenosha, WI 53143
- Reassigned Medicare billing, Wisconsin enrollment
- 72 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 53143 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.
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 Rachel Spranger's NPI number?
The NPI number for Rachel Spranger is 1376120279. It was assigned to this individual provider in the NPPES registry on March 26, 2021. The provider is also known as Rachel C Vande Hei Lcsw.
Where is Rachel Spranger located?
Rachel Spranger practices at 2108 63rd St, Kenosha, WI 53143. The listed phone number is (262) 652-2406.
What is Rachel Spranger's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Rachel Spranger enrolled in Medicare?
Yes. Rachel Spranger is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rachel Spranger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Spranger reassigns Medicare benefits to Professional Services Group, Inc. (Kenosha, 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 Rachel Spranger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachel Spranger accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 6 other insurers list Rachel Spranger 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 Rachel Spranger was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Rachel C Spranger, LCSW · NPI 1376120279
Clinical provider in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since March 26, 2021.
## Identity
- **NPI:** 1376120279 (Entity type: Individual)
- **Enumerated:** March 26, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 11310-123 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2108 63RD ST, Kenosha, WI 53143-4454
- **Phone:** (262) 652-2406
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Professional Services Group, Inc. (NPI 1619024262, Kenosha, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1376120279) · Data from the CMS NPPES public registry.