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MICHELLE ANTOSIEWICZ
NPI 1962527523
Social Worker - Clinical in Mount Pleasant, WI

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
3805B SPRING ST # 20, MOUNT PLEASANT, WI 53405(262) 687-2222 Get Directions Write a Review

NPPES record last updated: March 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michelle Antosiewicz NPPES

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

MICHELLE ANTOSIEWICZ (NPI 1962527523) is an individual clinical provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (7019) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1962527523
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE ANTOSIEWICZ
Location Address3805B SPRING ST # 20Mount Pleasant, WI 53405-1641
Mailing Address3805b Spring St # 20Mount Pleasant, WI 53405-1641 · (262) 687-2222
Phone(262) 687-2222
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 20, 2007
Last NPPES UpdateMarch 15, 2019
✔ NPI 1962527523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 7019
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.
3805B SPRING ST # 20, Mount Pleasant, WI 53405
Open in Google Maps ↗

Other Identifiers 1

Medicaid11013500WI

Accepted Insurance

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

Michelle Antosiewicz 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 ID7719040773
PECOS Enrollment IDI20090116000484
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 Reassignments

2

Medicare enrollment records show Michelle Antosiewicz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension All Saints Hospital, Inc
0.2 mi
General Acute Care Hospital
3801 SPRING ST
Racine, WI 53405
  • Reassigned Medicare billing, Wisconsin enrollment
  • 11 clinicians in this Medicare group
NPI 1639123284 (262) 687-4011
Ascension Medical Group-Southeast Wisconsin Inc
23 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

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 Michelle Antosiewicz's NPI number?

The NPI number for Michelle Antosiewicz is 1962527523. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Michelle Antosiewicz located?

Michelle Antosiewicz practices at 3805B Spring St # 20, Mount Pleasant, WI 53405. The listed phone number is (262) 687-2222.

What is Michelle Antosiewicz's specialty?

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

Is Michelle Antosiewicz enrolled in Medicare?

Yes. Michelle Antosiewicz 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 organizations bill Medicare for Michelle Antosiewicz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Antosiewicz reassigns Medicare benefits to 2 organizations: Ascension All Saints Hospital, Inc (Racine, WI) and Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). Each 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 Michelle Antosiewicz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Antosiewicz accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Michelle Antosiewicz 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.

Is Michelle Antosiewicz affiliated with any hospitals?

According to CMS data, Michelle Antosiewicz is affiliated with Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Antosiewicz was last updated on March 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.