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SHELLY BOURQUIN LCSW
NPI 1689108250
Social Worker - Clinical in Waukesha, WI

Active since April 20, 2017PECOS EnrolledAccepts Medicare Assignment
514 RIVERVIEW AVE, WAUKESHA, WI 53188(262) 548-7666 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, Apr 20, 2017 (2 updates tracked since 2017).

About Shelly Bourquin Lcsw NPPES

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

SHELLY BOURQUIN LCSW (NPI 1689108250) is an individual clinical provider in Waukesha, Wisconsin, licensed in Wisconsin (9229) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1689108250
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELLY BOURQUINCredential: LCSW
Location Address514 RIVERVIEW AVEWaukesha, WI 53188-3631
Mailing Address1741 Kettle Cove CtHartland, WI 53029-9365 · (262) 226-7601
Phone(262) 548-7666
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 20, 2017
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1689108250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 9229
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 130442 (WI)
514 RIVERVIEW AVE, Waukesha, WI 53188
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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, Medica, Network Health and more.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

Shelly Bourquin 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 ID6406378124
PECOS Enrollment IDI20250321002057
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 53188 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.

MRS. JESSICA GRIMM
Registered Nurse
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Waukesha County (262) 896-8459
JOANNE TERESA AYERS
Case Manager/Care Coordinator
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Waukesha County (262) 548-7442
RACHEL A FELLER LCSW, SAC-IT
Social Worker (Clinical)
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Waukesha County (262) 893-5317
EMILY STEARNS
Case Manager/Care Coordinator
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Waukesha County (262) 970-4766
DANIELLE JAFUTA
Case Manager/Care Coordinator
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Waukesha County (262) 896-7684
WAUKESHA COUNTY
Case Management
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Waukesha County (262) 548-7399
CECILE A HARRISON
Social Worker
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Waukesha County (262) 993-6047
MEGAN ELIZABETH BUHL
Case Manager/Care Coordinator
514 RIVERVIEW AVE
WAUKESHA, WI 53188
Waukesha County (262) 282-5018

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 Shelly Bourquin's NPI number?

The NPI number for Shelly Bourquin is 1689108250. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Shelly Bourquin located?

Shelly Bourquin practices at 514 Riverview Ave, Waukesha, WI 53188. The listed phone number is (262) 548-7666.

What is Shelly Bourquin's specialty?

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

Is Shelly Bourquin enrolled in Medicare?

Yes. Shelly Bourquin 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 Shelly Bourquin accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health and UnitedHealthcare list Shelly Bourquin 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 Shelly Bourquin was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.