1. Home
  2. Directory
  3. Wisconsin
  4. Sheboygan
  5. Social Worker
  6. NPI Profile

MS. JANICE M MERTEN MSW MA
NPI 1649344888
Social Worker - Clinical in Sheboygan, WI

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
1923 KAAT LN, SHEBOYGAN, WI 53081(920) 980-6808(920) 783-8004 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Janice M Merten Msw Ma NPPES

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

MS. JANICE M MERTEN MSW MA (NPI 1649344888) is an individual clinical provider in Sheboygan, Wisconsin, licensed in Illinois (149007383) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1649344888
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JANICE M MERTENCredential: MSW MA
Location Address1923 KAAT LNSheboygan, WI 53081-9104
Mailing Address1923 Kaat LnSheboygan, WI 53081-9104 · (920) 980-6808 · Fax (920) 783-8004
Phone(920) 980-6808
Fax(920) 783-8004
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 16, 2019
✔ NPI 1649344888 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 IL · 149007383
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.
1923 KAAT LN, Sheboygan, WI 53081
Open in Google Maps ↗

Other Identifiers 1

Other1649344888Health Insurance Companies

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.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

Ms. Janice M Merten Msw Ma 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 ID4284826884
PECOS Enrollment IDI20190812000879
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 53081 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.

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 Janice Merten's NPI number?

The NPI number for Janice Merten is 1649344888. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Janice Merten located?

Janice Merten practices at 1923 Kaat Ln, Sheboygan, WI 53081. The listed phone number is (920) 980-6808.

What is Janice Merten's specialty?

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

Is Janice Merten enrolled in Medicare?

Yes. Janice Merten 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 Janice Merten accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Janice Merten 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 Janice Merten was last updated on July 16, 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.