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JACLYN NINA GEITNER LCSW
NPI 1629352844
Social Worker - Clinical in Appleton, WI

Active since October 06, 2011PECOS Enrolled
424 E LONGVIEW DR STE A, APPLETON, WI 54911(920) 234-9240(920) 335-0014 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 12, 2019, Aug 23, 2018 (2 updates tracked since 2018).

About Jaclyn Nina Geitner Lcsw NPPES

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

JACLYN NINA GEITNER LCSW (NPI 1629352844) is an individual clinical provider in Appleton, Wisconsin, licensed in Wisconsin (8509-123) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629352844
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACLYN NINA GEITNERCredential: LCSW
Location Address424 E LONGVIEW DR STE AAppleton, WI 54911
Mailing Address424 E Longview Dr Ste AAppleton, WI 54911-2167
Phone(920) 234-9240
Fax(920) 335-0014
Sole ProprietorNo
Enumeration DateOctober 6, 2011
Last NPPES UpdateSeptember 12, 20192 updates tracked since enumeration
✔ NPI 1629352844 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 WI · 8509-123
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.
424 E LONGVIEW DR STE A, Appleton, WI 54911
Open in Google Maps ↗

Other Names 1

Former Name (1)Jaclyn Nina Knutson

Other Identifiers 1

Medicaid100033143WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Nina Geitner Lcsw 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.

Medicare Billing Reassignment

Medicare enrollment records show Jaclyn Geitner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ccp Clinic, LLC
19 mi
Clinical
3301 PACKERLAND DR STE B
De Pere, WI 54115
  • Reassigned Medicare billing, Wisconsin enrollment
  • 29 clinicians in this Medicare group
NPI 1396431714 (920) 234-9240

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 54911 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 5

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

JNG COUNSELING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
424 E LONGVIEW DR STE A
APPLETON, WI 54911
Outagamie County (920) 234-9240
MRS. EMILY ANN O'CONNOR MS, NCC, LPC
Counselor (Mental Health)
424 E LONGVIEW DR STE A
APPLETON, WI 54911
Outagamie County (920) 364-9078
NEELEY K WELCH-LAMERS LPC
Counselor (Professional)
424 E LONGVIEW DR STE A
APPLETON, WI 54911
Outagamie County (920) 239-5018
CHLOE J KIERSZH LPC
Counselor (Professional)
424 E LONGVIEW DR STE A
APPLETON, WI 54911
Outagamie County (920) 234-9240
COUNSELING AND CONSULTING PROFESSIONALS, LLC
Social Worker (Clinical)
424 E LONGVIEW DR STE A
APPLETON, WI 54911
Outagamie County (920) 239-5018

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 Jaclyn Geitner's NPI number?

The NPI number for Jaclyn Geitner is 1629352844. It was assigned to this individual provider in the NPPES registry on October 6, 2011. The provider is also known as Jaclyn Nina Knutson.

Where is Jaclyn Geitner located?

Jaclyn Geitner practices at 424 E Longview Dr Ste A, Appleton, WI 54911. The listed phone number is (920) 234-9240.

What is Jaclyn Geitner's specialty?

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

Is Jaclyn Geitner enrolled in Medicare?

Yes. Jaclyn Geitner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaclyn Geitner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Geitner reassigns Medicare benefits to Ccp Clinic, LLC (De Pere, 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 Jaclyn Geitner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaclyn Geitner accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Dean Health Plan and HealthPartners and 4 other insurers list Jaclyn Geitner 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 Jaclyn Geitner was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.