DONNA JEAN KETTNER LCSW
NPI 1619158151
Social Worker - Clinical in Sparta, WI
About Donna Jean Kettner Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONNA JEAN KETTNER LCSW (NPI 1619158151) is an individual clinical provider in Sparta, Wisconsin, licensed in Wisconsin (2647) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Black River Falls, and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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 and accepts Medicare assignment
Donna Jean Kettner 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.
Medicare Billing Reassignments
2Medicare enrollment records show Donna Kettner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sparta, WI 54656
- Reassigned Medicare billing, Wisconsin enrollment
- 928 clinicians in this Medicare group
Onalaska, WI 54650
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 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 54656 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPARTA, WI 54656
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 Donna Kettner's NPI number?
The NPI number for Donna Kettner is 1619158151. It was assigned to this individual provider in the NPPES registry on November 26, 2007.
Where is Donna Kettner located?
Donna Kettner practices at 1111 W Wisconsin St, Sparta, WI 54656. The listed phone number is (608) 269-1588.
What is Donna Kettner's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Donna Kettner enrolled in Medicare?
Yes. Donna Kettner 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 organizations bill Medicare for Donna Kettner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donna Kettner reassigns Medicare benefits to 2 organizations: Gundersen Clinic, Ltd. (Sparta, WI) and Gundersen Lutheran Medical Center, Inc (Onalaska, 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 Donna Kettner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donna Kettner accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Quartz and UnitedHealthcare list Donna Kettner 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 Donna Kettner was last updated on May 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Donna Jean Kettner, LCSW · NPI 1619158151
Clinical provider in Sparta, Wisconsin. Individual provider, active in the CMS NPPES registry since November 26, 2007.
## Identity
- **NPI:** 1619158151 (Entity type: Individual)
- **Enumerated:** November 26, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 2647 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1111 W WISCONSIN ST, Sparta, WI 54656-2233
- **Phone:** (608) 269-1588
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Gundersen Clinic, Ltd. (NPI 1578518346, Sparta, WI); Gundersen Lutheran Medical Center, Inc (NPI 1225372923, Onalaska, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** May 2, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1619158151) · Data from the CMS NPPES public registry.