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JAMIE L GUNDERSON MSW, LCSW
NPI 1437947579
Social Worker - Clinical in Sheboygan, WI

Active since April 29, 2025PECOS EnrolledAccepts Medicare Assignment
703 N 9TH ST, SHEBOYGAN, WI 53081(920) 917-1523 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jamie L Gunderson Msw, Lcsw NPPES

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

JAMIE L GUNDERSON MSW, LCSW (NPI 1437947579) is an individual clinical provider in Sheboygan, Wisconsin, licensed in Wisconsin (12572-123) and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1437947579
Entity TypeIndividual
Primary Taxonomy1041C0700X
Provider Legal NameJAMIE L GUNDERSONCredential: MSW, LCSW
Location Address703 N 9TH STSheboygan, WI 53081-4515
Mailing Address703 N 9th StSheboygan, WI 53081-4515 · (715) 842-9500
Phone(920) 917-1523
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 29, 2025
Last NPPES UpdateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
✔ NPI 1437947579 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 · 12572-123
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.
703 N 9TH ST, Sheboygan, WI 53081
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.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

Jamie L Gunderson Msw, 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 ID648777177
PECOS Enrollment IDI20251009001802
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 Reassignment

Medicare enrollment records show Jamie Gunderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Behavioral Health Clinic, LLC
128 mi
Clinical
630 S 36TH AVE
Wausau, WI 54401
  • Reassigned Medicare billing, Wisconsin enrollment
  • 75 clinicians in this Medicare group
NPI 1831442359 (715) 842-9500

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 53081 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 2

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

ELIZABETH DEBBINK LPC-IT
Counselor (Professional)
703 N 9TH ST
SHEBOYGAN, WI 53081
Sheboygan County (715) 842-9500
TARA TAYLOR LPC-IT
Counselor (Professional)
703 N 9TH ST
SHEBOYGAN, WI 53081
Sheboygan County (262) 233-1818

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 Jamie Gunderson's NPI number?

The NPI number for Jamie Gunderson is 1437947579. It was assigned to this individual provider in the NPPES registry on April 29, 2025.

Where is Jamie Gunderson located?

Jamie Gunderson practices at 703 N 9th St, Sheboygan, WI 53081. The listed phone number is (920) 917-1523.

What is Jamie Gunderson's specialty?

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

Is Jamie Gunderson enrolled in Medicare?

Yes. Jamie Gunderson 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 organization bills Medicare for Jamie Gunderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Gunderson reassigns Medicare benefits to Behavioral Health Clinic, LLC (Wausau, 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 Jamie Gunderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jamie Gunderson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Network Health and Quartz and 2 other insurers list Jamie Gunderson 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 Jamie Gunderson was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.