KELLY ESHBAUGH
NPI 1881435931
Counselor - Mental Health in Kenosha, WI
About Kelly Eshbaugh NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ESHBAUGH (NPI 1881435931) is an individual mental health provider in Kenosha, Wisconsin and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Eshbaugh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Eshbaugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wauwatosa, WI 53222
- Reassigned Medicare billing, Wisconsin enrollment
- 26 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelly Eshbaugh's NPI number?
The NPI number for Kelly Eshbaugh is 1881435931. It was assigned to this individual provider in the NPPES registry on June 3, 2024.
Where is Kelly Eshbaugh located?
Kelly Eshbaugh practices at 1400 75th St, Kenosha, WI 53143. The listed phone number is (262) 909-6008.
What is Kelly Eshbaugh's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kelly Eshbaugh enrolled in Medicare?
Yes. Kelly Eshbaugh is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Eshbaugh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Eshbaugh reassigns Medicare benefits to West Grove Clinic, Sc (Wauwatosa, 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 Kelly Eshbaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Eshbaugh accept?
Health plans from Anthem Blue Cross and Blue Shield and Network Health list Kelly Eshbaugh 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 Kelly Eshbaugh was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kelly Eshbaugh · NPI 1881435931
Mental Health provider in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since June 3, 2024.
## Identity
- **NPI:** 1881435931 (Entity type: Individual)
- **Enumerated:** June 3, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1400 75TH ST, Kenosha, WI 53143-1544
- **Phone:** (262) 909-6008
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** West Grove Clinic, Sc (NPI 1518167477, Wauwatosa, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1881435931) · Data from the CMS NPPES public registry.