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EMILY KLOS
NPI 1891685178
Social Worker - Clinical in West Bend, WI

Active since July 08, 2025PECOS Enrolled
111 E WASHINGTON ST, WEST BEND, WI 53095(262) 338-2717 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Emily Klos NPPES

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

EMILY KLOS (NPI 1891685178) is an individual clinical provider in West Bend, Wisconsin and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891685178
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEMILY KLOS
Location Address111 E WASHINGTON STWest Bend, WI 53095-2571
Mailing Address111 E Washington StWest Bend, WI 53095-2571
Phone(262) 338-2717
Sole ProprietorNo
Enumeration DateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
✔ NPI 1891685178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
111 E WASHINGTON ST, West Bend, WI 53095
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Affiliated Clinical Services Inc
Same address
Multi-Specialty
111 E WASHINGTON ST
West Bend, WI 53095
  • Reassigned Medicare billing, Wisconsin enrollment
  • 33 clinicians in this Medicare group
NPI 1851473698 (262) 338-2717

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 53095 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 20

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

TIFFANY DUBEY LCSW, SAC-IT
Social Worker (Clinical)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
ALYSSA SEKADLO
Nurse Practitioner (Psychiatric/Mental Health)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
DANIEL BARANEK
Counselor (Professional)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
ABBY LOUISE JANSSEN LCSW
Social Worker (Clinical)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
JULIE ANNE ROCHELEAU LPC, SAC
Counselor (Professional)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
RYANNE BETH WENDT LCSW
Social Worker (Clinical)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
SHANNON JOHNSON
Nurse Practitioner (Psychiatric/Mental Health)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
MS. LONNA LEE TAYLOR MS RN APNP
Nurse Practitioner (Psychiatric/Mental Health)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717

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 Emily Klos's NPI number?

The NPI number for Emily Klos is 1891685178. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Where is Emily Klos located?

Emily Klos practices at 111 E Washington St, West Bend, WI 53095. The listed phone number is (262) 338-2717.

What is Emily Klos's specialty?

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

Is Emily Klos enrolled in Medicare?

Yes. Emily Klos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emily Klos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Klos reassigns Medicare benefits to Affiliated Clinical Services Inc (West Bend, 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 Emily Klos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Klos accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Emily Klos 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 Emily Klos was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.