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TERRI L WILKENS LCSW
NPI 1659146785
Social Worker - Clinical in Fond Du Lac, WI

Active since November 20, 2023PECOS EnrolledAccepts Medicare Assignment
378 E 11TH ST, FOND DU LAC, WI 54935(920) 948-7583 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Terri L Wilkens Lcsw NPPES

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

TERRI L WILKENS LCSW (NPI 1659146785) is an individual clinical provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (2893-123) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1659146785
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTERRI L WILKENSCredential: LCSW
Location Address378 E 11TH STFond Du Lac, WI 54935-5253
Mailing Address378 E 11th StFond Du Lac, WI 54935-5253 · (920) 948-7583
Phone(920) 948-7583
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateNovember 20, 2023
NPPES CertifiedNovember 18, 2023
✔ NPI 1659146785 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 · 2893-123
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.
378 E 11TH ST, Fond Du Lac, WI 54935
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Terri L Wilkens 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 ID5092249672
PECOS Enrollment IDI20241106000893
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 Reassignments

2

Medicare enrollment records show Terri Wilkens reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Agnesian Healthcare, Inc
0.8 mi
General Acute Care Hospital
430 E DIVISION ST
Fond Du Lac, WI 54935
  • Reassigned Medicare billing, Wisconsin enrollment
  • 606 clinicians in this Medicare group
NPI 1346228541 (920) 929-2300
Sailor Health Medical PA
1,324 mi
Psychologist
2332 GALIANO ST FL 2
Coral Gables, FL 33134
  • Reassigned Medicare billing, Wisconsin enrollment
  • 12 clinicians in this Medicare group
NPI 1841012960 (786) 269-0333

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 54935 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 Terri Wilkens's NPI number?

The NPI number for Terri Wilkens is 1659146785. It was assigned to this individual provider in the NPPES registry on November 20, 2023.

Where is Terri Wilkens located?

Terri Wilkens practices at 378 E 11th St, Fond Du Lac, WI 54935. The listed phone number is (920) 948-7583.

What is Terri Wilkens's specialty?

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

Is Terri Wilkens enrolled in Medicare?

Yes. Terri Wilkens 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 Terri Wilkens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terri Wilkens reassigns Medicare benefits to 2 organizations: Agnesian Healthcare, Inc (Fond Du Lac, WI) and Sailor Health Medical PA (Coral Gables, FL). 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 Terri Wilkens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terri Wilkens accept?

Health plans from UnitedHealthcare list Terri Wilkens 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 Terri Wilkens was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.