MRS. KELLY MAUREEN JAKES LCSW
NPI 1619647187
Social Worker - Clinical in La Crosse, WI
About Mrs. Kelly Maureen Jakes Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY MAUREEN JAKES LCSW (NPI 1619647187) is an individual clinical provider in La Crosse, Wisconsin, licensed in Wisconsin (9413-123) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kelly Maureen Jakes Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Jakes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1841278637 (Wisconsin)
- 1,003 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 54601 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LA CROSSE, WI 54601
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 Kelly Jakes's NPI number?
The NPI number for Kelly Jakes is 1619647187. It was assigned to this individual provider in the NPPES registry on September 16, 2021.
Where is Kelly Jakes located?
Kelly Jakes practices at 800 West Ave S, La Crosse, WI 54601. The listed phone number is (608) 785-0940.
What is Kelly Jakes's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kelly Jakes enrolled in Medicare?
Yes. Kelly Jakes is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Jakes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Jakes reassigns Medicare benefits to Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, 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 Kelly Jakes'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 Kelly Jakes was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Kelly Maureen Jakes, LCSW · NPI 1619647187
Clinical provider in La Crosse, Wisconsin. Individual provider, active in the CMS NPPES registry since September 16, 2021.
## Identity
- **NPI:** 1619647187 (Entity type: Individual)
- **Enumerated:** September 16, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 9413-123 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 WEST AVE S, La Crosse, WI 54601-8806
- **Phone:** (608) 785-0940
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (NPI 1629056049, La Crosse, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1619647187) · Data from the CMS NPPES public registry.