JOHN UPSHAW LISW
NPI 1225066673
Social Worker - Clinical in Cedar Falls, IA
About John Upshaw Lisw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN UPSHAW LISW (NPI 1225066673) is an individual clinical provider in Cedar Falls, Iowa, licensed in Iowa (5588) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).
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
John Upshaw Lisw 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 John Upshaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coralville, IA 52241
- Reassigned Medicare billing, Iowa enrollment
- 37 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 50613 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CEDAR FALLS, IA 50613
CEDAR FALLS, IA 50613
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 John Upshaw's NPI number?
The NPI number for John Upshaw is 1225066673. It was assigned to this individual provider in the NPPES registry on June 28, 2006.
Where is John Upshaw located?
John Upshaw practices at 2802 Orchard Dr, Cedar Falls, IA 50613. The listed phone number is (319) 268-9700.
What is John Upshaw's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is John Upshaw enrolled in Medicare?
Yes. John Upshaw 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 John Upshaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Upshaw reassigns Medicare benefits to Green Counseling Services PLLC (Coralville, IA). 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 John Upshaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Upshaw accept?
Health plans from HealthPartners, Oscar Health, Oscar Insurance Company, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list John Upshaw 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 John Upshaw was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# John Upshaw, LISW · NPI 1225066673
Clinical provider in Cedar Falls, Iowa. Individual provider, active in the CMS NPPES registry since June 28, 2006.
## Identity
- **NPI:** 1225066673 (Entity type: Individual)
- **Enumerated:** June 28, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 5588 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 2802 ORCHARD DR, Cedar Falls, IA 50613-5898
- **Phone:** (319) 268-9700 · **Fax:** (319) 268-1934
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Green Counseling Services PLLC (NPI 1528564762, Coralville, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** July 17, 2007
- **Other identifiers:** Medicare UPIN P11803 (IA); Medicare PIN I6780 (IA)
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Source: [NPI Profile](https://npiprofile.com/npi/1225066673) · Data from the CMS NPPES public registry.