JEREMY KOERSELMAN LISW
NPI 1578711594
Counselor - Mental Health in Orange City, IA
About Jeremy Koerselman Lisw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY KOERSELMAN LISW (NPI 1578711594) is an individual mental health provider in Orange City, Iowa and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).
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 (PECOS)
Jeremy Koerselman Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeremy Koerselman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sioux Center, IA 51250
- Reassigned Medicare billing, Iowa enrollment
- 18 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ORANGE CITY, IA 51041
ORANGE CITY, IA 51041
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 Jeremy Koerselman's NPI number?
The NPI number for Jeremy Koerselman is 1578711594. It was assigned to this individual provider in the NPPES registry on September 3, 2008.
Where is Jeremy Koerselman located?
Jeremy Koerselman practices at 111 Arizona Ave NW, Orange City, IA 51041. The listed phone number is (712) 737-9444.
What is Jeremy Koerselman's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jeremy Koerselman enrolled in Medicare?
Yes. Jeremy Koerselman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeremy Koerselman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Koerselman reassigns Medicare benefits to Greater Sioux Community Health Center, Inc (Sioux Center, 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 Jeremy Koerselman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeremy Koerselman accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Avera Health Plans and 5 other insurers list Jeremy Koerselman 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 Jeremy Koerselman was last updated on April 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jeremy Koerselman, LISW · NPI 1578711594
Mental Health provider in Orange City, Iowa. Individual provider, active in the CMS NPPES registry since September 3, 2008.
## Identity
- **NPI:** 1578711594 (Entity type: Individual)
- **Enumerated:** September 3, 2008
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 111 ARIZONA AVE NW, Orange City, IA 51041-1425
- **Phone:** (712) 737-9444
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Greater Sioux Community Health Center, Inc (NPI 1568284701, Sioux Center, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** April 29, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1578711594) · Data from the CMS NPPES public registry.