SHASTA LEE HARDEE LMSW-37764
NPI 1194992545
Social Worker in Idaho Falls, ID
About Shasta Lee Hardee Lmsw-37764 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHASTA LEE HARDEE LMSW-37764 (NPI 1194992545) is an individual social worker in Idaho Falls, Idaho, licensed in Idaho (LMSW-37764) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Shasta Lee Hardee Lmsw-37764 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 Shasta Hardee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Idaho Falls, ID 83401
- Reassigned Medicare billing, Idaho enrollment
- 4 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IDAHO FALLS, ID 83404
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 Shasta Hardee's NPI number?
The NPI number for Shasta Hardee is 1194992545. It was assigned to this individual provider in the NPPES registry on May 14, 2008.
Where is Shasta Hardee located?
Shasta Hardee practices at 2235 E 25th St, Idaho Falls, ID 83404. The listed phone number is (208) 643-2832.
What is Shasta Hardee's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Shasta Hardee enrolled in Medicare?
Yes. Shasta Hardee 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 Shasta Hardee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shasta Hardee reassigns Medicare benefits to Willow Sage Services LLC (Idaho Falls, ID). 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 Shasta Hardee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shasta Hardee accept?
Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health and 1 other insurer list Shasta Hardee 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 Shasta Hardee was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Shasta Lee Hardee, LMSW-37764 · NPI 1194992545
Social Worker provider in Idaho Falls, Idaho. Individual provider, active in the CMS NPPES registry since May 14, 2008.
## Identity
- **NPI:** 1194992545 (Entity type: Individual)
- **Enumerated:** May 14, 2008
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** LMSW-37764 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 2235 E 25TH ST, Idaho Falls, ID 83404
- **Phone:** (208) 643-2832 · **Fax:** (085) 382-2332
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Willow Sage Services LLC (NPI 1538611652, Idaho Falls, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 7, 2018
- **Other identifiers:** Medicaid 807375600 (ID); Medicaid 002648300 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1194992545) · Data from the CMS NPPES public registry.