MS. KHLOE JEAN PIERCE-ODEBUNMI APSW, SAC
NPI 1699211656
Social Worker in Baraboo, WI

Active since January 16, 2017PECOS EnrolledAccepts Medicare Assignment
505 BROADWAY ST, BARABOO, WI 53913(608) 355-4200 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 28, 2026, Jun 1, 2021, Apr 7, 2020 and 1 more (4 updates tracked since 2017).

About Ms. Khloe Jean Pierce-odebunmi Apsw, Sac NPPES

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

MS. KHLOE JEAN PIERCE-ODEBUNMI APSW, SAC (NPI 1699211656) is an individual social worker in Baraboo, Wisconsin, licensed in Wisconsin (131637) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1699211656
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. KHLOE JEAN PIERCE-ODEBUNMICredential: APSW, SAC
Location Address505 BROADWAY STBaraboo, WI 53913-2183
Mailing Address505 Broadway StBaraboo, WI 53913-2183 · (608) 355-4200
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 16, 2017
Last NPPES UpdateApril 28, 20264 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1699211656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in WI · 131637
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 16215 (WI)
505 BROADWAY ST, Baraboo, WI 53913

Accepted 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

Ms. Khloe Jean Pierce-odebunmi Apsw, Sac 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 ID6204225667
PECOS Enrollment IDI20211105001740
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 Khloe Pierce-odebunmi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Community/Behavioral Health
505 BROADWAY ST
Baraboo, WI 53913
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Sauk County
  • 17 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Counselor (Addiction (Substance Use Disorder))
505 BROADWAY ST
BARABOO, WI 53913
Social Worker (Clinical)
505 BROADWAY ST
BARABOO, WI 53913
Counselor (Addiction (Substance Use Disorder))
505 BROADWAY ST
BARABOO, WI 53913
Counselor (Mental Health)
505 BROADWAY ST
BARABOO, WI 53913
Registered Nurse (Psychiatric/Mental Health)
505 BROADWAY ST
BARABOO, WI 53913
Community/Behavioral Health
505 BROADWAY ST
BARABOO, WI 53913
Social Worker (Clinical)
505 BROADWAY ST
BARABOO, WI 53913
Behavior Analyst
505 BROADWAY ST
BARABOO, WI 53913

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 Khloe Pierce-odebunmi's NPI number?

The NPI number for Khloe Pierce-odebunmi is 1699211656. It was assigned to this individual provider in the NPPES registry on January 16, 2017.

Where is Khloe Pierce-odebunmi located?

Khloe Pierce-odebunmi practices at 505 Broadway St, Baraboo, WI 53913. The listed phone number is (608) 355-4200.

What is Khloe Pierce-odebunmi's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Khloe Pierce-odebunmi enrolled in Medicare?

Yes. Khloe Pierce-odebunmi 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 organization bills Medicare for Khloe Pierce-odebunmi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khloe Pierce-odebunmi reassigns Medicare benefits to County Of Sauk (Baraboo, 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 Khloe Pierce-odebunmi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khloe Pierce-odebunmi accept?

Health plans from Dean Health Plan, Group Health Cooperative-SCW and Quartz list Khloe Pierce-odebunmi 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 Khloe Pierce-odebunmi was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.