MRS. TINA MARIE OTTMAN-BOYKIN MSE LCSW LPC NCC
NPI 1760595300
Social Worker - Clinical in Plymouth, WI
About Mrs. Tina Marie Ottman-boykin Mse Lcsw Lpc Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TINA MARIE OTTMAN-BOYKIN MSE LCSW LPC NCC (NPI 1760595300) is an individual clinical provider in Plymouth, Wisconsin, licensed in Wisconsin (2886123) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Other Identifiers 2
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
Mrs. Tina Marie Ottman-boykin Mse Lcsw Lpc Ncc 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.
Medicare Billing Reassignment
Medicare enrollment records show Tina Ottman-boykin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Plymouth, WI 53073
- Reassigned Medicare billing, Wisconsin enrollment
- 9 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLYMOUTH, WI 53073
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 Tina Ottman-boykin's NPI number?
The NPI number for Tina Ottman-boykin is 1760595300. It was assigned to this individual provider in the NPPES registry on August 17, 2006. The provider is also known as Miss Tina Marie Ottman.
Where is Tina Ottman-boykin located?
Tina Ottman-boykin practices at 2209 Eastern Ave, Plymouth, WI 53073. The listed phone number is (920) 892-7606.
What is Tina Ottman-boykin's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Tina Ottman-boykin enrolled in Medicare?
Yes. Tina Ottman-boykin 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 Tina Ottman-boykin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Ottman-boykin reassigns Medicare benefits to Life Point Counseling, LLC (Plymouth, 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 Tina Ottman-boykin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tina Ottman-boykin accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Network Health list Tina Ottman-boykin 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 Tina Ottman-boykin was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Tina Marie Ottman-Boykin, MSE LCSW LPC NCC · NPI 1760595300
Clinical provider in Plymouth, Wisconsin. Individual provider, active in the CMS NPPES registry since August 17, 2006.
## Identity
- **NPI:** 1760595300 (Entity type: Individual)
- **Enumerated:** August 17, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 2886123 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2209 EASTERN AVE, Plymouth, WI 53073-4281
- **Phone:** (920) 892-7606
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Life Point Counseling, LLC (NPI 1407097371, Plymouth, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** May 9, 2023
- **Other identifiers:** Other 138002; Medicaid 39744000 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1760595300) · Data from the CMS NPPES public registry.