Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELINE ANN WEYDERT LISW
NPI 1871752436
Social Worker - Clinical in Rocky Mount, MO

Active since June 08, 2008PECOS EnrolledAccepts Medicare Assignment
30147 EVANS RD, ROCKY MOUNT, MO 65072(319) 541-5320 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacqueline Ann Weydert Lisw NPPES

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

JACQUELINE ANN WEYDERT LISW (NPI 1871752436) is an individual clinical provider in Rocky Mount, Missouri, licensed in Iowa (06609) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1871752436
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE ANN WEYDERTCredential: LISW
Location Address30147 EVANS RDRocky Mount, MO 65072-2715
Mailing Address30147 Evans RdRocky Mount, MO 65072-2715 · (319) 541-5320
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 8, 2008
Last NPPES UpdateOctober 7, 2026
NPPES CertifiedOctober 7, 2026
✔ NPI 1871752436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in IA · 06609✔ Licensed in MO · 2013040378
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.
30147 EVANS RD, Rocky Mount, MO 65072

Other Identifiers 1

Medicaid1871752436IA

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

Jacqueline Ann Weydert Lisw 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.

PECOS PAC ID7012072192
PECOS Enrollment IDI20170613001570
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 Jacqueline Weydert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
4142 KEATON CROSSING BLVD STE 101
O Fallon, MO 63368
  • Reassigned Medicare billing, Missouri enrollment
  • 5 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
614 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65072 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 $52.28 – $161.24
Typical copayment $0.00 (range $13.07 – $40.31)
Most-billed visit code NA
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 Jacqueline Weydert's NPI number?

The NPI number for Jacqueline Weydert is 1871752436. It was assigned to this individual provider in the NPPES registry on June 8, 2008.

Where is Jacqueline Weydert located?

Jacqueline Weydert practices at 30147 Evans Rd, Rocky Mount, MO 65072. The listed phone number is (319) 541-5320.

What is Jacqueline Weydert's specialty?

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

Is Jacqueline Weydert enrolled in Medicare?

Yes. Jacqueline Weydert 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 Jacqueline Weydert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Weydert reassigns Medicare benefits to Family Life Counseling And Psychological Services, LLC (O Fallon, MO). 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 Jacqueline Weydert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Weydert accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and UnitedHealthcare list Jacqueline Weydert 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 Jacqueline Weydert was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.