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DONNA JEAN KETTNER LCSW
NPI 1619158151
Social Worker - Clinical in Sparta, WI

Active since November 26, 2007PECOS EnrolledAccepts Medicare Assignment
1111 W WISCONSIN ST, SPARTA, WI 54656(608) 269-1588 Get Directions Write a Review

NPPES record last updated: May 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1619158151
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDONNA JEAN KETTNERCredential: LCSW
Location Address1111 W WISCONSIN STSparta, WI 54656-2233
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Phone(608) 269-1588
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 26, 2007
Last NPPES UpdateMay 2, 2018
✔ NPI 1619158151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 2647
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1111 W WISCONSIN ST, Sparta, WI 54656
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Secondary Practice Location 1

Location 1409 County Road RBlack River Falls, WI 54615-5129 · Phone (715) 284-9477 · Fax (715) 284-5547

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, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1456614254
PECOS Enrollment IDI20180409001471
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 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.

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 15

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

CHRISTINA R DEBOER-COLLINS DO
Family Medicine
1111 W WISCONSIN ST
SPARTA, WI 54656
Monroe County (608) 269-6735
ZACHARY C APRIL DO
Family Medicine
1111 W WISCONSIN ST
SPARTA, WI 54656
Monroe County (608) 269-6731
MATTHEW WILLIAM BESCH
Physical Therapist
1111 W WISCONSIN ST
SPARTA, WI 54656
Monroe County (608) 269-6731
GUNDERSEN CLINIC, LTD.
Clinic/Center (Mental Health (Including Community Mental Health Center))
1111 W WISCONSIN ST
SPARTA, WI 54656
Monroe County (608) 782-7300
KRYSTA ANN BEVER DPT
Physical Therapist
1111 W WISCONSIN ST
SPARTA, WI 54656
Monroe County (608) 269-6731
GUNDERSEN CLINIC, LTD.
Optometrist
1111 W WISCONSIN ST
SPARTA, WI 54656
Monroe County (608) 782-7300
ALISON VANDEGRIFT DPT
Physical Therapist
1111 W WISCONSIN ST
SPARTA, WI 54656
Monroe County (608) 782-7300
MOLLY C SKINNER LPC-IT AND SAC-IT
Counselor (Addiction (Substance Use Disorder))
1111 W WISCONSIN ST
SPARTA, WI 54656
Monroe County (608) 269-1588

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.

What insurance does Donna Kettner accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Medica and Quartz and 1 other insurer 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.