HOLLY FUESTON LMSW
NPI 1861040990
Social Worker in Cedar Rapids, IA

NPI Status: Active since September 02, 2019

Contact Information

215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401
Phone: (319) 364-1953

Get Directions Write a Review

  • Individual
  • Female
  • Years of Experience 7
  • Social Worker
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About HOLLY FUESTON

This page provides the complete NPI Profile along with additional information for Holly Fueston, a provider established in Cedar Rapids, Iowa with a medical specialization in Social Worker and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1861040990 assigned on September 2019. The practitioner's primary taxonomy code is 104100000X with license number 095288 (IA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1861040990
Provider Name
HOLLY FUESTON LMSW
Gender
Female
Entity Type
Individual
Location Address
215 4TH AVE SE CEDAR RAPIDS, IA 52401
Location Phone
(319) 364-1953
Mailing Address
2884 CORAL CT APT 301 CORALVILLE, IA 52241
Medical School Name
OTHER
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
09-02-2019
Last Update Date
06-17-2020
Code Navigator

A social worker like Holly Fueston helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
095288
License State
IA
Taxonomy Description
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elevate by Medica Bronze $0 Copay PCP Visits - EPO
  • Elevate by Medica Bronze Share - EPO
  • Elevate by Medica Expanded Bronze Standard - EPO
  • Elevate by Medica Gold $0 Copay PCP Visits - EPO
  • Elevate by Medica Gold Share - EPO
  • Elevate by Medica Gold Standard - EPO
  • Elevate by Medica Silver $0 Copay PCP Visits - EPO
  • Elevate by Medica Silver Share - EPO
  • Elevate by Medica Silver Standard - EPO
  • Inspire by Medica Bronze $0 Copay PCP Visits - EPO
  • Inspire by Medica Bronze Share - EPO
  • Inspire by Medica Expanded Bronze Standard - EPO
  • Inspire by Medica Gold $0 Copay PCP Visits - EPO
  • Inspire by Medica Gold Share - EPO
  • Inspire by Medica Gold Standard - EPO
  • Inspire by Medica Silver $0 Copay PCP Visits - EPO
  • Inspire by Medica Silver Share - EPO
  • Inspire by Medica Silver Standard - EPO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Share - EPO
  • Wellmark Bronze HDHP HMO HSA Qualified - HMO
  • Wellmark Bronze Traditional HMO - HMO
  • Wellmark Gold Traditional HMO - HMO
  • Wellmark Silver Traditional HMO - HMO
  • Wellmark Standard Bronze HMO - HMO
  • Wellmark Standard Gold HMO - HMO
  • Wellmark Standard Silver HMO - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Holly Fueston is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Holly Fueston is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3779945423

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230814000949

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for HOLLY FUESTON LMSW

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1861040990
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28121040918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 0 + 4 + 0 + 9 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1861040990 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

SHANNON ELISE PEREA T-LMHC

Counselor

(Mental Health)

215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401

(319) 804-9071

LINDSEY KUTCHER

Social Worker

215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401

(319) 364-1953

REBECCA JANE BOOTH LMSW

Social Worker

215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401

(319) 330-3696

ANGELA SUE MCDOWELL LMSW

Social Worker

(Clinical)

215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401

(319) 471-7639

NOELLE KRISTIN ANDREW MS, T-LMHC

Counselor

(Mental Health)

215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401

(612) 749-3746

TARYN COCHENOUR

Counselor

(Mental Health)

215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401

(319) 364-1953

MRS. KATHRINE RACHEL BECKMAN-SHAULL LISW

Social Worker

(Clinical)

215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401

(319) 551-9973

ETTINAH RENEE KENT BSW, TCADC

Counselor

(Addiction (Substance Use Disorder))

215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401

(319) 550-0815

EMMA ROSE ZANGER BCBA

Behavior Analyst

215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401

(319) 409-7418

TRACI BIDDLE T-LMHC

Counselor

(Mental Health)

215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401

(319) 364-1953

RYAN CARLSON

Counselor

(Mental Health)

215 4TH AVE SE
CEDAR RAPIDS, IA
ZIP 52401

(319) 409-6922

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861040990, enumerated as an "individual" on September 02, 2019.

The provider is located at 215 4TH AVE SE CEDAR RAPIDS, IA 52401 and the phone number is (319) 364-1953.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Medica and Wellmark Health Plan of Iowa, Inc.. Please consult your insurance carrier or call the provider to verify.