MS. NATASHA JEAN PINKERTON LCSW
NPI 1003695255
Social Worker - Clinical in Waukesha, WI

NPI Status: Active since September 27, 2023

Contact Information

725 AMERICAN AVE
WAUKESHA, WI
ZIP 53188
Phone: (262) 928-1000

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  • Individual
  • Female
  • Years of Experience 12
  • Social Worker
  • Clinical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About NATASHA PINKERTON

This page provides the complete NPI Profile along with additional information for Natasha Pinkerton, a provider established in Waukesha, Wisconsin with a medical specialization in Social Worker, focusing in clinical and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1003695255 assigned on September 2023. The practitioner's primary taxonomy code is 1041C0700X with license number 11480 (WI). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1003695255
Provider Name
MS. NATASHA JEAN PINKERTON LCSW
Gender
Female
Entity Type
Individual
Location Address
725 AMERICAN AVE WAUKESHA, WI 53188
Location Phone
(262) 928-1000
Mailing Address
725 AMERICAN AVE WAUKESHA, WI 53188
Mailing Phone
(262) 928-2537
Medical School Name
OTHER
Graduation Year
2014
Is Sole Proprietor?
No
Enumeration Date
09-27-2023
Last Update Date
12-18-2023
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A clinical social worker like Natasha Pinkerton is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
11480
License State
WI
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Dean Bronze $0 Copay PCP Visits - HMO
  • Dean Bronze Share - HMO
  • Dean Catastrophic - HMO
  • Dean Expanded Bronze Standard - HMO
  • Dean Gold HSA - HMO
  • Dean Gold Share - HMO
  • Dean Gold Standard - HMO
  • Dean Silver $0 Copay PCP Visits - HMO
  • Dean Silver Share - HMO
  • Dean Silver Standard - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value HSA (No Referrals) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Natasha Pinkerton is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Natasha Pinkerton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1951757418

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231019003441

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $16.84 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 53188 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

  • Average New Patient Price $0
  • Minimum New Patient Price $53.9
  • Maximum New Patient Price $163.24
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $13.47
  • Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.37
  • Minimum Established Patient Price $17.4
  • Maximum Established Patient Price $133.76
  • Average Established Patient Copayment $16.84
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $33.44

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Natasha Pinkerton is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
WAUKESHA MEMORIAL HOSPITAL725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 928-1000Acute Care Hospitals

Reviews for MS. NATASHA JEAN PINKERTON LCSW

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003695255
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200312910210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 1 + 2 + 9 + 1 + 0 + 2 + 1 + 0 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1003695255 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649278292MS. MARGARET A SCHUELLER PT
Individual
Physical Therapist725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 250-9468
1427040229DR. DANIELLE M SMITH MD
Individual
Hospitalist725 AMERICAN AVE WAUKESHA MEMORIAL HOSPITAL-HOSPITALIST GROUP
WAUKESHA, WI 53188
(262) 928-5400
1174518724DR. MARK GLEN BAKALARS M.D.
Individual
Radiology (Vascular & Interventional Radiology)725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 928-2400
1396730958DR. GARY ANTHONY BEYER M.D.
Individual
Radiology (Diagnostic Radiology)725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 928-2400
1174518732DR. ROBERT MURRAY BOEX M.D.
Individual
Radiology (Diagnostic Radiology)725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 928-2400
1053306613DR. DAVID JOSEPH CZARNECKI M.D.
Individual
Radiology (Diagnostic Radiology)725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 928-2400
1831184415DR. GREGORY ALLEN FRANCKEN M.D.
Individual
Radiology (Diagnostic Radiology)725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 928-2400
1588659171DR. MARK CLIFFORD HOLLISTER M.D.
Individual
Radiology (Diagnostic Radiology)725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 928-2400
1063407666DR. GREGORY ALLEN KASS M.D.
Individual
Radiology (Diagnostic Radiology)725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 928-2400
1467447060DR. KATHLEEN KAY KLAAS M.D.
Individual
Radiology (Diagnostic Radiology)725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 928-2400
1407841018DR. ROBERT JOSEPH LESNIAK M.D.
Individual
Radiology (Vascular & Interventional Radiology)725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 928-2400
1467447078DR. BRIAN THOMAS LIPMAN M.D.
Individual
Radiology (Diagnostic Radiology)725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 928-2400
1134115751DR. DAVID ORLIN YENERICH M.D.
Individual
Radiology (Neuroradiology)725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 928-2400
1730175258RADIOLOGY WAUKESHA S.C.
Organization
Radiology (Diagnostic Radiology)725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 928-2400
1194711564DR. JEFFREY MATTHEW FETE M.D.
Individual
Radiology (Diagnostic Radiology)725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 928-2400
1417943895DR. JOHN ROBERT GROGAN M.D.
Individual
Radiology (Neuroradiology)725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 928-2400
1720074107DR. ERIC ROBERT FISHER M.D.
Individual
Radiology (Body Imaging)725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 928-2400
1306832597DR. TRACY ANN MARTIN M.D.
Individual
Radiology (Diagnostic Radiology)725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 928-2400
1306828017 TIMOTHY J HELZ M.D.
Individual
Emergency Medicine725 AMERICAN AVE SUITE 5
WAUKESHA, WI 53188
(262) 928-2475
1679556161DR. SCOTT J KRUG M.D.
Individual
Anesthesiology725 AMERICAN AVE
WAUKESHA, WI 53188
(262) 544-2011

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003695255, enumerated in the NPI registry as an "individual" on September 27, 2023

The provider is located at 725 American Ave Waukesha, Wi 53188 and the phone number is (262) 928-1000

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

The provider has more than 12 years of experience.

The provider might be accepting Accepts: Dean Health Plan and UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): WAUKESHA MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 27, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.