JESSICA WIEMERSLAGE
NPI 1497147706
Social Worker - Clinical in Traverse City, MI

Q: What is Jessica Wiemerslage's NPI number?

The NPI number for Jessica Wiemerslage is 1497147706. It was assigned to this individual provider in the NPPES registry on February 23, 2015.

Q: What is Jessica Wiemerslage's specialty?

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

Active since February 23, 2015PECOS Enrolled

4020 COPPER VW STE 104, TRAVERSE CITY, MI 49684(231) 421-6921(231) 421-7852 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2018, Aug 15, 2018 (2 updates tracked since 2018).

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About Jessica Wiemerslage NPPES

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

JESSICA WIEMERSLAGE (NPI 1497147706) is an individual clinical provider in Traverse City, Michigan, licensed in Michigan (6801087737) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Traverse City.

NPPES Registry Identity

NPI1497147706

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJESSICA WIEMERSLAGE

Location Address4020 COPPER VW STE 104Traverse City, MI 49684

Mailing Address3335 S Airport Rd WTraverse City, MI 49684-7928

Phone(231) 421-6921

Fax(231) 421-7852

Sole ProprietorYes

Enumeration DateFebruary 23, 2015

Last NPPES UpdateAugust 23, 20182 updates tracked since enumeration

✔ NPI 1497147706 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 MI · 6801087737

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.

4020 COPPER VW STE 104, Traverse City, MI 49684

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Secondary Practice Location 1

Location 11978 N South Long Lake RdTraverse City, MI 49685-9097 · Phone (616) 808-1267

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Wiemerslage 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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 $54.34 – $166.68

Typical copayment $0.00 (range $13.58 – $41.67)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 12

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

MS. MELANIE SUE LUTZ LMSW

Social Worker (Clinical)