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KRYSTAL LUCAS LCSW, MSW, CAPSW
NPI 1699546119
Social Worker - Clinical in Edgerton, WI

Active since January 12, 2024PECOS Enrolled
111 W FULTON ST, EDGERTON, WI 53534(608) 561-6614 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Krystal Lucas Lcsw, Msw, Capsw NPPES

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

KRYSTAL LUCAS LCSW, MSW, CAPSW (NPI 1699546119) is an individual clinical provider in Edgerton, Wisconsin, licensed in Wisconsin (12159-123) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Janesville.

NPPES Registry Identity

NPI1699546119
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRYSTAL LUCASCredential: LCSW, MSW, CAPSW
Location Address111 W FULTON STEdgerton, WI 53534-1876
Mailing Address11101 N Sherman RdEdgerton, WI 53534-9002 · (608) 884-1609
Phone(608) 561-6614
Sole ProprietorNo
Enumeration DateJanuary 12, 2024
Last NPPES UpdateMay 7, 2025
NPPES CertifiedMay 7, 2025
✔ NPI 1699546119 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 · 12159-123
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 132295-121 (WI)
111 W FULTON ST, Edgerton, WI 53534
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Other Names 1

Former Name (1)Krystal Gartley Msw, Capsw

Secondary Practice Location 1

Location 1903 Mineral Point AveJanesville, WI 53548-2970 · Phone (608) 756-5555 · Fax (608) 756-0174

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystal Lucas Lcsw, Msw, Capsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Krystal Lucas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Health System Corporation
10 mi
General Acute Care Hospital
1000 MINERAL POINT AVE
Janesville, WI 53548
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,155 clinicians in this Medicare group
NPI 1093768962 (608) 756-6000

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 53534 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 2

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

MARY T PAULI LCPC
Counselor (Mental Health)
111 W FULTON ST
EDGERTON, WI 53534
Rock County (608) 561-6614
EDGERTON HOSPITAL AND HEALTH SERVICES INC
Podiatrist
111 W FULTON ST
EDGERTON, WI 53534
Rock County (608) 884-3441

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 Krystal Lucas's NPI number?

The NPI number for Krystal Lucas is 1699546119. It was assigned to this individual provider in the NPPES registry on January 12, 2024. The provider is also known as Krystal Gartley Msw, Capsw.

Where is Krystal Lucas located?

Krystal Lucas practices at 111 W Fulton St, Edgerton, WI 53534. The listed phone number is (608) 561-6614.

What is Krystal Lucas's specialty?

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

Is Krystal Lucas enrolled in Medicare?

Yes. Krystal Lucas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Krystal Lucas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Lucas reassigns Medicare benefits to Mercy Health System Corporation (Janesville, 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 Krystal Lucas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krystal Lucas accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Medica, MercyCare and MercyCare Health Plans and 2 other insurers list Krystal Lucas 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 Krystal Lucas was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.