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ELLEN MERKER LPC
NPI 1811471550
Counselor - Mental Health in Madison, WI

Active since September 19, 2018PECOS EnrolledAccepts Medicare Assignment
5202 PAINTED POST DR, MADISON, WI 53716(608) 513-2139 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2021, Sep 19, 2018 (2 updates tracked since 2018).

About Ellen Merker Lpc NPPES

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

ELLEN MERKER LPC (NPI 1811471550) is an individual mental health provider in Madison, Wisconsin, licensed in Wisconsin (8058-125) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1811471550
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELLEN MERKERCredential: LPC
Location Address5202 PAINTED POST DRMadison, WI 53716-1554
Mailing Address5202 Painted Post DrMadison, WI 53716-1554 · (608) 513-2139
Phone(608) 513-2139
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 19, 2018
Last NPPES UpdateJanuary 5, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
✔ NPI 1811471550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 8058-125
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 3952-226 (WI)
5202 PAINTED POST DR, Madison, WI 53716
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Ellen Merker Lpc 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 ID1052761160
PECOS Enrollment IDI20240102000551
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 Ellen Merker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heart Consulting LLC
0.6 mi
Mental Health
4706 COTTAGE GROVE RD STE 300
Madison, WI 53716
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1912552878 (608) 513-2139

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

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 Ellen Merker's NPI number?

The NPI number for Ellen Merker is 1811471550. It was assigned to this individual provider in the NPPES registry on September 19, 2018.

Where is Ellen Merker located?

Ellen Merker practices at 5202 Painted Post Dr, Madison, WI 53716. The listed phone number is (608) 513-2139.

What is Ellen Merker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Ellen Merker enrolled in Medicare?

Yes. Ellen Merker 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 Ellen Merker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Merker reassigns Medicare benefits to Heart Consulting LLC (Madison, 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 Ellen Merker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ellen Merker accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Ellen Merker 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 Ellen Merker was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.