1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Social Worker
  6. NPI Profile

HARUYO NISHIMURA
NPI 1487029567
Social Worker - Clinical in Santa Rosa, CA

Active since December 01, 2015PECOS Enrolled
3725 WESTWIND BLVD STE 100, SANTA ROSA, CA 95403(707) 565-5978 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 21, 2023, Jan 21, 2016, Dec 1, 2015 (3 updates tracked since 2015).

About Haruyo Nishimura NPPES

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

HARUYO NISHIMURA (NPI 1487029567) is an individual clinical provider in Santa Rosa, California, licensed in California (LCSW98265) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487029567
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHARUYO NISHIMURA
Location Address3725 WESTWIND BLVD STE 100Santa Rosa, CA 95403-9082
Mailing AddressPo Box 542Graton, CA 95444-0542
Phone(707) 565-5978
Sole ProprietorYes
Enumeration DateDecember 1, 2015
Last NPPES UpdateNovember 21, 20233 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
✔ NPI 1487029567 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 CA · LCSW98265
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.
3725 WESTWIND BLVD STE 100, Santa Rosa, CA 95403
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haruyo Nishimura is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Haruyo Nishimura reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
95 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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 95403 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 $63.04 – $187.01
Typical copayment $0.00 (range $15.76 – $46.75)
Most-billed visit code NA
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

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 Haruyo Nishimura's NPI number?

The NPI number for Haruyo Nishimura is 1487029567. It was assigned to this individual provider in the NPPES registry on December 1, 2015.

Where is Haruyo Nishimura located?

Haruyo Nishimura practices at 3725 Westwind Blvd Ste 100, Santa Rosa, CA 95403. The listed phone number is (707) 565-5978.

What is Haruyo Nishimura's specialty?

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

Is Haruyo Nishimura enrolled in Medicare?

Yes. Haruyo Nishimura is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Haruyo Nishimura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haruyo Nishimura reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). 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 Haruyo Nishimura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Haruyo Nishimura was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.