ERIKA BANDILLA LISW
NPI 1972153278
Social Worker - Clinical in Waterloo, IA

Active since September 18, 2019PECOS Enrolled
128 PLAZA CIR, WATERLOO, IA 50701(319) 988-1800(319) 553-6055 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 8, 2025, Sep 18, 2019 (2 updates tracked since 2019).

About Erika Bandilla Lisw NPPES

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

ERIKA BANDILLA LISW (NPI 1972153278) is an individual clinical provider in Waterloo, Iowa, licensed in Iowa (086853) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1972153278
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameERIKA BANDILLACredential: LISW
Location Address128 PLAZA CIRWaterloo, IA 50701-5139
Mailing Address128 Plaza CirWaterloo, IA 50701-5139 · (319) 349-8075
Fax(319) 553-6055
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 18, 2019
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1972153278 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 IA · 086853
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.

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)

Erika Bandilla Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072904697
PECOS Enrollment IDI20211215001366
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 Erika Bandilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adult Mental Health
128 PLAZA CIR
Waterloo, IA 50701
  • Reassigned Medicare billing, Iowa enrollment
  • 3 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50701 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 11

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

Social Worker
128 PLAZA CIR
WATERLOO, IA 50701
Social Worker (Clinical)
128 PLAZA CIR
WATERLOO, IA 50701
Social Worker (Clinical)
128 PLAZA CIR
WATERLOO, IA 50701
Clinic/Center (Mental Health (Including Community Mental Health Center))
128 PLAZA CIR
WATERLOO, IA 50701
Counselor (Mental Health)
128 PLAZA CIR
WATERLOO, IA 50701
Clinic/Center (Adult Mental Health)
128 PLAZA CIR
WATERLOO, IA 50701
Social Worker
128 PLAZA CIR
WATERLOO, IA 50701
Counselor (Mental Health)
128 PLAZA CIR
WATERLOO, IA 50701

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 Erika Bandilla's NPI number?

The NPI number for Erika Bandilla is 1972153278. It was assigned to this individual provider in the NPPES registry on September 18, 2019.

Where is Erika Bandilla located?

Erika Bandilla practices at 128 Plaza Cir, Waterloo, IA 50701. The listed phone number is (319) 988-1800.

What is Erika Bandilla's specialty?

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

Is Erika Bandilla enrolled in Medicare?

Yes. Erika Bandilla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Erika Bandilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erika Bandilla reassigns Medicare benefits to Flourish Counseling, LLC (Waterloo, 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 Erika Bandilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erika Bandilla accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and HealthPartners and 4 other insurers list Erika Bandilla 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 Erika Bandilla was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.