KATHLEEN JONES
NPI 1992175574
Social Worker - Clinical in Waukesha, WI
About Kathleen Jones NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN JONES (NPI 1992175574) is an individual clinical provider in Waukesha, Wisconsin, licensed in Wisconsin (8820) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
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
Kathleen Jones 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 Kathleen Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waukesha, WI 53188
- Reassigned Medicare billing, Wisconsin enrollment
- 528 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 53188 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAUKESHA, WI 53188
WAUKESHA, WI 53188
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 Kathleen Jones's NPI number?
The NPI number for Kathleen Jones is 1992175574. It was assigned to this individual provider in the NPPES registry on September 25, 2015.
Where is Kathleen Jones located?
Kathleen Jones practices at 721 American Ave Ste 501, Waukesha, WI 53188. The listed phone number is (262) 928-4036.
What is Kathleen Jones's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kathleen Jones enrolled in Medicare?
Yes. Kathleen Jones 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 Kathleen Jones's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Jones reassigns Medicare benefits to Prohealth Medical Group Inc (Waukesha, 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 Kathleen Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Jones accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Network Health list Kathleen Jones 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 Kathleen Jones was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Kathleen Jones · NPI 1992175574
Clinical provider in Waukesha, Wisconsin. Individual provider, active in the CMS NPPES registry since September 25, 2015.
## Identity
- **NPI:** 1992175574 (Entity type: Individual)
- **Enumerated:** September 25, 2015
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 8820 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 721 AMERICAN AVE STE 501, Waukesha, WI 53188-5071
- **Phone:** (262) 928-4036
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Prohealth Medical Group Inc (NPI 1629225677, Waukesha, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** May 30, 2025
- **Other identifiers:** Medicaid 10048544 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1992175574) · Data from the CMS NPPES public registry.