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MR. SIDNEY G BOERSMA LCSW
NPI 1992800775
Social Worker - Clinical in Rock Island, IL

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
1 ROCK ISLAND ARSENAL, ROCK ISLAND, IL 61299(309) 782-4910 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Sidney G Boersma Lcsw NPPES

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

MR. SIDNEY G BOERSMA LCSW (NPI 1992800775) is an individual clinical provider in Rock Island, Illinois, licensed in Wisconsin (2198-123) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1992800775
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SIDNEY G BOERSMACredential: LCSW
Location Address1 ROCK ISLAND ARSENALRock Island, IL 61299-7530
Mailing Address243 E Mckinley StStoughton, WI 53589-1626 · (608) 873-4859
Phone(309) 782-4910
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 11, 2025
NPPES CertifiedJuly 11, 2025
✔ NPI 1992800775 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 WI · 2198-123✔ Licensed in WI · 152227
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.
1 ROCK ISLAND ARSENAL, Rock Island, IL 61299
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan, UnitedHealthcare.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

Mr. Sidney G Boersma Lcsw 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 ID3870545460
PECOS Enrollment IDI20050211000117
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 Sidney Boersma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oceanhawk Counseling Alternatives LLC
111 mi
Addiction (Substance Use Disorder)
3185 DEER POINT DR STE A
Stoughton, WI 53589
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3 clinicians in this Medicare group
NPI 1245341205 (608) 873-7838

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 2

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.
406 services32 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61299 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 2

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

MR. ANA M MILLER RN, CWOCN
Registered Nurse (Wound Care)
1 ROCK ISLAND ARSENAL
ROCK ISLAND, IL 61299
Rock Island County (309) 782-6950
HEATHER ANN CLAUS ARNP
Nurse Practitioner (Family)
1 ROCK ISLAND ARSENAL, BUILDING 110, BASEMENT
ROCK ISLAND, IL 61299
Rock Island County (309) 782-0805

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 Sidney Boersma's NPI number?

The NPI number for Sidney Boersma is 1992800775. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Sidney Boersma located?

Sidney Boersma practices at 1 Rock Island Arsenal, Rock Island, IL 61299. The listed phone number is (309) 782-4910.

What is Sidney Boersma's specialty?

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

Is Sidney Boersma enrolled in Medicare?

Yes. Sidney Boersma 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 Sidney Boersma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sidney Boersma reassigns Medicare benefits to Oceanhawk Counseling Alternatives LLC (Stoughton, WI). 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 Sidney Boersma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sidney Boersma accept?

Health plans from Dean Health Plan and UnitedHealthcare list Sidney Boersma 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 Sidney Boersma was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.