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PEGGY L WETMORE LICSW
NPI 1558247643
Social Worker - Clinical in Faribault, MN

Active since August 13, 2025PECOS EnrolledAccepts Medicare Assignment
1155 WILLOW ST TRLR 19N, FARIBAULT, MN 55021(507) 213-1795 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2025, Aug 13, 2025 (2 updates tracked since 2025).

About Peggy L Wetmore Licsw NPPES

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

PEGGY L WETMORE LICSW (NPI 1558247643) is an individual clinical provider in Faribault, Minnesota, licensed in Minnesota (9719) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558247643
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePEGGY L WETMORECredential: LICSW
Location Address1155 WILLOW ST TRLR 19NFaribault, MN 55021-7057
Mailing Address1155 Willow St Trlr 19nFaribault, MN 55021-7057 · (507) 213-1795
Phone(507) 213-1795
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 13, 2025
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
✔ NPI 1558247643 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 MN · 9719
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.
1155 WILLOW ST TRLR 19N, Faribault, MN 55021
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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

Peggy L Wetmore Licsw 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 ID7810485273
PECOS Enrollment IDI20251020000272
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 Peggy Wetmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stellar Wellness
14 mi
Clinical
1065 24TH AVE SW STE 107
Owatonna, MN 55060
  • Reassigned Medicare billing, Minnesota enrollment
  • 2 clinicians in this Medicare group
NPI 1912536814 (507) 774-3147

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 55021 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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 Peggy Wetmore's NPI number?

The NPI number for Peggy Wetmore is 1558247643. It was assigned to this individual provider in the NPPES registry on August 13, 2025.

Where is Peggy Wetmore located?

Peggy Wetmore practices at 1155 Willow St Trlr 19N, Faribault, MN 55021. The listed phone number is (507) 213-1795.

What is Peggy Wetmore's specialty?

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

Is Peggy Wetmore enrolled in Medicare?

Yes. Peggy Wetmore 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 Peggy Wetmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peggy Wetmore reassigns Medicare benefits to Stellar Wellness (Owatonna, MN). 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 Peggy Wetmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peggy Wetmore was last updated on September 2, 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.