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MRS. SARA A BUSHBY LISW
NPI 1750614137
Social Worker - Clinical in Sioux City, IA

Active since September 16, 2009PECOS Enrolled
625 COURT STREET, SIOUX CITY, IA 51101(712) 252-3871(712) 252-3157 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Sara A Bushby Lisw NPPES

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

MRS. SARA A BUSHBY LISW (NPI 1750614137) is an individual clinical provider in Sioux City, Iowa, licensed in Iowa (06572) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750614137
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SARA A BUSHBYCredential: LISW
Location Address625 COURT STREETSioux City, IA 51101-1919
Mailing Address625 Court StreetSioux City, IA 51101-1919 · (712) 252-3871 · Fax (712) 252-3157
Phone(712) 252-3871
Fax(712) 252-3157
Sole ProprietorNo
Enumeration DateSeptember 16, 2009
Last NPPES UpdateJune 1, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1750614137 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 IA · 06572
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 G12545 (MD)
625 COURT STREET, Sioux City, IA 51101
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sara A Bushby Lisw 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 Sara Bushby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Trustees Of The University Of Illinois
359 mi
Family Medicine
405 CHARLES ST
Mt Morris, IL 61054
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1033157755 (815) 734-6061

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 51101 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 10

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

MS. JEANETTE RENEE TOBIN PLMHP, MSW
Social Worker (Clinical)
625 COURT STREET
SIOUX CITY, IA 51101
Woodbury County (712) 252-3871
MRS. LEE ANNE SCHMIDT LMHC
Counselor (Mental Health)
625 COURT STREET
SIOUX CITY, IA 51101
Woodbury County (712) 252-3871
MRS. VICTORIA MASON LMFT
Marriage & Family Therapist
625 COURT STREET
SIOUX CITY, IA 51101
Woodbury County (712) 252-3871
MRS. JOADA JEAN BEST ARNP
Clinical Nurse Specialist (Psychiatric/Mental Health)
625 COURT STREET
SIOUX CITY, IA 51101
Woodbury County (712) 252-3871
NANCY ANN THIEMAN LISW
Social Worker (Clinical)
625 COURT STREET
SIOUX CITY, IA 51101
Woodbury County (712) 252-3871
MISS DANIKA LEIGH HANSEN PMHNP
Clinical Nurse Specialist (Psychiatric/Mental Health)
625 COURT STREET
SIOUX CITY, IA 51101
Woodbury County (712) 252-3871
CYNTHIA ANN GUTHMILLER ARNP/ PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
625 COURT STREET
SIOUX CITY, IA 51101
Woodbury County (712) 252-3871
JACQUELINE JOY MCINNIS PA-C,CAQ PSYCHIATRY
Physician Assistant
625 COURT STREET
SIOUX CITY, IA 51101
Woodbury County (712) 252-3871

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 Sara Bushby's NPI number?

The NPI number for Sara Bushby is 1750614137. It was assigned to this individual provider in the NPPES registry on September 16, 2009.

Where is Sara Bushby located?

Sara Bushby practices at 625 Court Street, Sioux City, IA 51101. The listed phone number is (712) 252-3871.

What is Sara Bushby's specialty?

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

Is Sara Bushby enrolled in Medicare?

Yes. Sara Bushby is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sara Bushby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Bushby reassigns Medicare benefits to Board Of Trustees Of The University Of Illinois (Mt Morris, IL). 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 Sara Bushby'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 Sara Bushby was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.