Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GRACE RUMMEL LCSW
NPI 1285229815
Social Worker - Clinical in Du Bois, PA

Active since March 05, 2021PECOS EnrolledAccepts Medicare Assignment
535 SUNFLOWER DR, DU BOIS, PA 15801(814) 375-6379 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 22, 2026, Oct 23, 2023, Dec 1, 2022 and 1 more (4 updates tracked since 2021).

About Grace Rummel Lcsw NPPES

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

GRACE RUMMEL LCSW (NPI 1285229815) is an individual clinical provider in Du Bois, Pennsylvania, licensed in Pennsylvania (CW024039) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1285229815
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGRACE RUMMELCredential: LCSW
Location Address535 SUNFLOWER DRDu Bois, PA 15801-2350
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-6379 · Fax (814) 375-9320
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 5, 2021
Last NPPES UpdateSeptember 22, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1285229815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW024039
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.
Also ListedSocial WorkerTaxonomy 104100000X · License SW137369 (PA)
535 SUNFLOWER DR, Du Bois, PA 15801

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

Grace Rummel Lcsw 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 ID3678929320
PECOS Enrollment IDI20231101000610
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 Reassignments

2

Medicare enrollment records show Grace Rummel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
535 SUNFLOWER DR
Du Bois, PA 15801
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 27 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 833 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 15801 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 $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
535 SUNFLOWER DR
DU BOIS, PA 15801
Social Worker (Clinical)
535 SUNFLOWER DR
DU BOIS, PA 15801
Physician Assistant
535 SUNFLOWER DR
DU BOIS, PA 15801
Psychiatry & Neurology (Psychiatry)
535 SUNFLOWER DR
DU BOIS, PA 15801
Psychiatry & Neurology (Psychiatry)
535 SUNFLOWER DR
DU BOIS, PA 15801
Social Worker (Clinical)
535 SUNFLOWER DR
DU BOIS, PA 15801
Psychiatry & Neurology (Child & Adolescent Psychiatry)
535 SUNFLOWER DR
DU BOIS, PA 15801
Psychiatry & Neurology (Psychiatry)
535 SUNFLOWER DR
DU BOIS, PA 15801

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 Grace Rummel's NPI number?

The NPI number for Grace Rummel is 1285229815. It was assigned to this individual provider in the NPPES registry on March 5, 2021.

Where is Grace Rummel located?

Grace Rummel practices at 535 Sunflower Dr, Du Bois, PA 15801. The listed phone number is (814) 375-6379.

What is Grace Rummel's specialty?

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

Is Grace Rummel enrolled in Medicare?

Yes. Grace Rummel 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 organizations bill Medicare for Grace Rummel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Rummel reassigns Medicare benefits to 2 organizations: Dubois Regional Medical Center (Du Bois, PA) and Grow Healthcare Group PA (Miami, FL). Each 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 Grace Rummel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Rummel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Grace Rummel 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 Grace Rummel was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.