CHELSEA HOYER LMSW
NPI 1275171084
Social Worker - Clinical in West Burlington, IA

Active since December 12, 2019PECOS EnrolledAccepts Medicare Assignment
1706 W AGENCY RD, WEST BURLINGTON, IA 52655(319) 768-5858 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Chelsea Hoyer Lmsw NPPES

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

CHELSEA HOYER LMSW (NPI 1275171084) is an individual clinical provider in West Burlington, Iowa, licensed in Iowa (096225) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1275171084
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHELSEA HOYERCredential: LMSW
Location Address1706 W AGENCY RDWest Burlington, IA 52655-1667
Mailing Address407 Blondeau St Ste 1Keokuk, IA 52632-5657 · (319) 768-5858
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 12, 2019
✔ NPI 1275171084 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 IA · 096225
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.
1706 W AGENCY RD, West Burlington, IA 52655

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

Chelsea Hoyer Lmsw 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 ID6709396112
PECOS Enrollment IDI20250605002945
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 Reassignment

Medicare enrollment records show Chelsea Hoyer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1706 WEST AGENCY ROAD
West Burlington, IA 52655
  • Reassigned Medicare billing, Iowa enrollment
  • 43 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 52655 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 $52.96 – $161.40
Typical copayment $0.00 (range $13.24 – $40.35)
Most-billed visit code NA
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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.

Family Medicine
1706 W AGENCY RD
WEST BURLINGTON, IA 52655
Nurse Practitioner (Primary Care)
1706 W AGENCY RD
WEST BURLINGTON, IA 52655
Physician Assistant
1706 W AGENCY RD
WEST BURLINGTON, IA 52655
Pharmacy (Community/Retail Pharmacy)
1706 W AGENCY RD
WEST BURLINGTON, IA 52655
Dentist (General Practice)
1706 W AGENCY RD
WEST BURLINGTON, IA 52655
Nurse Practitioner (Family)
1706 W AGENCY RD
WEST BURLINGTON, IA 52655
Internal Medicine
1706 W AGENCY RD
WEST BURLINGTON, IA 52655
Nurse Practitioner (Family)
1706 W AGENCY RD
WEST BURLINGTON, IA 52655

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 Chelsea Hoyer's NPI number?

The NPI number for Chelsea Hoyer is 1275171084. It was assigned to this individual provider in the NPPES registry on December 12, 2019.

Where is Chelsea Hoyer located?

Chelsea Hoyer practices at 1706 W Agency Rd, West Burlington, IA 52655. The listed phone number is (319) 768-5858.

What is Chelsea Hoyer's specialty?

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

Is Chelsea Hoyer enrolled in Medicare?

Yes. Chelsea Hoyer 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 Chelsea Hoyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chelsea Hoyer reassigns Medicare benefits to Community Health Centers Of Southeastern Iowa Inc (West Burlington, 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 Chelsea Hoyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chelsea Hoyer accept?

Health plans from Oscar Health and Oscar Insurance Company list Chelsea Hoyer 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 Chelsea Hoyer was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.