BENJAMIN DOUGLAS HUSTEDT LICSW
NPI 1114511714
Social Worker - Clinical in Duluth, MN
About Benjamin Douglas Hustedt Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN DOUGLAS HUSTEDT LICSW (NPI 1114511714) is an individual clinical provider in Duluth, Minnesota, licensed in Minnesota (27270) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with Essentia Health Duluth, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Benjamin Douglas Hustedt Licsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Benjamin Hustedt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Duluth, MN 55805
- Reassigned Medicare billing, Minnesota enrollment
- 1,460 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health Duluth
Acute Care Hospitals · Duluth, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55811 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DULUTH, MN 55811
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 Benjamin Hustedt's NPI number?
The NPI number for Benjamin Hustedt is 1114511714. It was assigned to this individual provider in the NPPES registry on February 24, 2021.
Where is Benjamin Hustedt located?
Benjamin Hustedt practices at 615 Pecan Ave, Duluth, MN 55811. The listed phone number is (218) 355-2100.
What is Benjamin Hustedt's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Benjamin Hustedt enrolled in Medicare?
Yes. Benjamin Hustedt 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 Benjamin Hustedt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Hustedt reassigns Medicare benefits to The Duluth Clinic, Ltd (Duluth, MN). 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 Benjamin Hustedt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Hustedt accept?
Health plans from Sanford Health Plan and Security Health Plan list Benjamin Hustedt 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.
Is Benjamin Hustedt affiliated with any hospitals?
According to CMS data, Benjamin Hustedt is affiliated with Essentia Health Duluth.
When was this NPI record last updated?
The NPPES record for Benjamin Hustedt was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Benjamin Douglas Hustedt, LICSW · NPI 1114511714
Clinical provider in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since February 24, 2021.
## Identity
- **NPI:** 1114511714 (Entity type: Individual)
- **Enumerated:** February 24, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 27270 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 615 PECAN AVE, Duluth, MN 55811-2749
- **Phone:** (218) 355-2100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Duluth Clinic, Ltd (NPI 1245278209, Duluth, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** February 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1114511714) · Data from the CMS NPPES public registry.