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RACHAEL SHEETS LCSW
NPI 1659155919
Social Worker - Clinical in Port Washington, WI

Active since August 18, 2023PECOS Enrolled
121 W MAIN ST, PORT WASHINGTON, WI 53074(262) 284-8200(262) 284-8103 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 18, 2025, Aug 18, 2023 (2 updates tracked since 2023).

About Rachael Sheets Lcsw NPPES

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

RACHAEL SHEETS LCSW (NPI 1659155919) is an individual clinical provider in Port Washington, Wisconsin, licensed in Wisconsin (12800-123) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1659155919
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameRACHAEL SHEETSCredential: LCSW
Location Address121 W MAIN STPort Washington, WI 53074-1813
Mailing Address121 W Main StPort Washington, WI 53074-1813 · (262) 284-8200 · Fax (262) 284-8103
Phone(262) 284-8200
Fax(262) 284-8103
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 18, 2023
Last NPPES UpdateFebruary 17, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1659155919 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 · 12800-123
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.
121 W MAIN ST, Port Washington, WI 53074
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachael Sheets Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264918127
PECOS Enrollment IDI20260109001992
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 Rachael Sheets reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Ozaukee
Same address
Public Health or Welfare
121 W MAIN STREET
Port Washington, WI 53074
  • Reassigned Medicare billing, Wisconsin enrollment
  • 8 clinicians in this Medicare group
NPI 1740475250 (262) 284-8170

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 53074 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 20

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

ASHLEY LOREN BUCKMASTER APSW
Social Worker
121 W MAIN ST
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-8200
RENEE M KERANEN MSW
Social Worker (Clinical)
121 W MAIN ST
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-8133
CHEYENNE VOLM LPC-IT
Counselor (Mental Health)
121 W MAIN ST
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-8200
JESSICA OLLMAN
Social Worker
121 W MAIN ST
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-8148
MRS. HEATHER LYNN CARLSON MA, LPC
Counselor (Professional)
121 W MAIN ST
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-8229
EMMA LEWIS LPC-IT
Counselor (Mental Health)
121 W MAIN ST
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-8200
SANDRA JACQUES LCSW
Social Worker (Clinical)
121 W MAIN ST, SUITE 350
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-8130
CHRISTINA M JOHNSON CAPSW, SAC-IT
Counselor
121 W MAIN ST
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-8200

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 Rachael Sheets's NPI number?

The NPI number for Rachael Sheets is 1659155919. It was assigned to this individual provider in the NPPES registry on August 18, 2023.

Where is Rachael Sheets located?

Rachael Sheets practices at 121 W Main St, Port Washington, WI 53074. The listed phone number is (262) 284-8200.

What is Rachael Sheets's specialty?

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

Is Rachael Sheets enrolled in Medicare?

Yes. Rachael Sheets is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rachael Sheets's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Sheets reassigns Medicare benefits to County Of Ozaukee (Port Washington, 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 Rachael Sheets's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachael Sheets accept?

Health plans from Anthem Blue Cross and Blue Shield, Quartz and UnitedHealthcare list Rachael Sheets 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 Rachael Sheets was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.