MICHIAELA LEE MCKINNEY LBSW
NPI 1164018164
Social Worker in Williston, ND

Q: What is Michiaela Mckinney's NPI number?

The NPI number for Michiaela Mckinney is 1164018164. It was assigned to this individual provider in the NPPES registry on December 15, 2020. The provider is also known as Michiaela Lee Surber.

Q: What is Michiaela Mckinney's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since December 15, 2020PECOS Enrolled

603 MAIN ST, WILLISTON, ND 58801(701) 774-0749 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Michiaela Lee Mckinney Lbsw NPPES

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

MICHIAELA LEE MCKINNEY LBSW (NPI 1164018164) is an individual social worker in Williston, North Dakota, licensed in North Dakota (5882) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164018164

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMICHIAELA LEE MCKINNEYCredential: LBSW

Location Address603 MAIN STWilliston, ND 58801-5467

Mailing Address4615 11th Ave W Apt 110Williston, ND 58801-5272 · (701) 578-8544

Phone(701) 774-0749

Sole ProprietorNo

Enumeration DateDecember 15, 2020

NPPES CertifiedDecember 14, 2020

✔ NPI 1164018164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in ND · 5882

Definition

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.

603 MAIN ST, Williston, ND 58801

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Other Names 1

Other Name (5)Michiaela Lee Surber

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michiaela Lee Mckinney Lbsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Michiaela Mckinney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwest Behavioral Health Clinic

0.3 mi

Adult Mental Health

316 2ND AVE W
Williston, ND 58801

Reassigned Medicare billing, North Dakota enrollment
Medicare enrollment name: Northwest Human Service Center
69 clinicians in this Medicare group

NPI 1770524613 (701) 774-4600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

TINA M. NORDAUNE LCSW

Social Worker

603 MAIN ST
WILLISTON, ND 58801

Williams County (701) 774-1122

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 Michiaela Mckinney's NPI number?

The NPI number for Michiaela Mckinney is 1164018164. It was assigned to this individual provider in the NPPES registry on December 15, 2020. The provider is also known as Michiaela Lee Surber.

Where is Michiaela Mckinney located?

Michiaela Mckinney practices at 603 Main St, Williston, ND 58801. The listed phone number is (701) 774-0749.

What is Michiaela Mckinney's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Michiaela Mckinney enrolled in Medicare?

Yes. Michiaela Mckinney is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michiaela Mckinney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michiaela Mckinney reassigns Medicare benefits to Northwest Behavioral Health Clinic (Williston, ND). 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 Michiaela Mckinney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michiaela Mckinney accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Michiaela Mckinney 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 Michiaela Mckinney was last updated on December 15, 2020. 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.