RACHELLE GEWECKE T-LMHC
NPI 1386516060
Counselor - Mental Health in Spencer, IA
About Rachelle Gewecke T-lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHELLE GEWECKE T-LMHC (NPI 1386516060) is an individual mental health provider in Spencer, Iowa, licensed in Iowa (131582) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Rachelle Gewecke T-lmhc 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 Rachelle Gewecke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Spencer, IA 51301
- Reassigned Medicare billing, Iowa enrollment
- 176 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPENCER, IA 51301
SPENCER, IA 51301
SPENCER, IA 51301
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 Rachelle Gewecke's NPI number?
The NPI number for Rachelle Gewecke is 1386516060. It was assigned to this individual provider in the NPPES registry on September 22, 2025.
Where is Rachelle Gewecke located?
Rachelle Gewecke practices at 1200 1st Ave E Ste 1, Spencer, IA 51301. The listed phone number is (712) 264-6228.
What is Rachelle Gewecke's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Rachelle Gewecke enrolled in Medicare?
Yes. Rachelle Gewecke 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 Rachelle Gewecke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachelle Gewecke reassigns Medicare benefits to Spencer Municipal Hospital (Spencer, 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 Rachelle Gewecke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachelle Gewecke accept?
Health plans from Sanford Health Plan and Wellmark Health Plan of Iowa, Inc. list Rachelle Gewecke 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 Rachelle Gewecke was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Rachelle Gewecke, T-LMHC · NPI 1386516060
Mental Health provider in Spencer, Iowa. Individual provider, active in the CMS NPPES registry since September 22, 2025.
## Identity
- **NPI:** 1386516060 (Entity type: Individual)
- **Enumerated:** September 22, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 131582 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 1ST AVE E STE 1, Spencer, IA 51301-4330
- **Phone:** (712) 264-6228
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Spencer Municipal Hospital (NPI 1255328621, Spencer, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1386516060) · Data from the CMS NPPES public registry.