SHEILA MARIE MIDDAGH
NPI 1164076741
Social Worker - Clinical in Worthington, MN
About Sheila Marie Middagh NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHEILA MARIE MIDDAGH (NPI 1164076741) is an individual clinical provider in Worthington, Minnesota, licensed in Minnesota (26208) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sioux Falls, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Sheila Marie Middagh 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 Reassignments
9Medicare enrollment records show Sheila Middagh reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Luverne, MN 56156
- Reassigned Medicare billing, Minnesota enrollment
- 33 clinicians in this Medicare group
Rock Rapids, IA 51246
- Reassigned Medicare billing, South Dakota enrollment
- 1,277 clinicians in this Medicare group
Marshall, MN 56258
- Reassigned Medicare billing, Minnesota enrollment
- 47 clinicians in this Medicare group
Winnebago, NE 68071
- Reassigned Medicare billing, Texas enrollment
- 90 clinicians in this Medicare group
Rosebud, SD 57570
- Reassigned Medicare billing, Texas enrollment
- 386 clinicians in this Medicare group
Rapid City, SD 57702
- Reassigned Medicare billing, Texas enrollment
- 119 clinicians in this Medicare group
Belcourt, ND 58316
- Reassigned Medicare billing, Texas enrollment
- 193 clinicians in this Medicare group
Poplar, MT 59255
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: U S Health Dept Of Health & Human Services
- 306 clinicians in this Medicare group
Fort Washakie, WY 82514
- Reassigned Medicare billing, Texas enrollment
- 31 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 56187 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WORTHINGTON, MN 56187
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 Sheila Middagh's NPI number?
The NPI number for Sheila Middagh is 1164076741. It was assigned to this individual provider in the NPPES registry on July 31, 2019. The provider is also known as Sheila Marie Thomsen Licsw.
Where is Sheila Middagh located?
Sheila Middagh practices at 29566 270th St, Worthington, MN 56187. The listed phone number is (605) 695-9948.
What is Sheila Middagh's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Sheila Middagh enrolled in Medicare?
Yes. Sheila Middagh 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 organizations bill Medicare for Sheila Middagh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Middagh reassigns Medicare benefits to 9 organizations: Southwestern Mental Health Center Inc (Luverne, MN), Avera Mckennan (Rock Rapids, IA), Western Mental Health Center, Inc. (Marshall, MN), Winnebago Tribe Of Nebraska (Winnebago, NE), Rosebud Indian Health Service (Rosebud, SD) and 4 more organizations, listed in the Medicare section above. Each 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 Sheila Middagh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sheila Middagh accept?
Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, HealthPartners, Oscar Insurance Company and Sanford Health Plan and 3 other insurers list Sheila Middagh 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 Sheila Middagh was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Sheila Marie Middagh · NPI 1164076741
Clinical provider in Worthington, Minnesota. Individual provider, active in the CMS NPPES registry since July 31, 2019.
## Identity
- **NPI:** 1164076741 (Entity type: Individual)
- **Enumerated:** July 31, 2019
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 26208 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 29566 270TH ST, Worthington, MN 56187-6375
- **Phone:** (605) 695-9948
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Southwestern Mental Health Center Inc (NPI 1487654562, Luverne, MN); Avera Mckennan (NPI 1003389206, Rock Rapids, IA); Western Mental Health Center, Inc. (NPI 1982613311, Marshall, MN); Winnebago Tribe Of Nebraska (NPI 1710469234, Winnebago, NE); Rosebud Indian Health Service (NPI 1194757369, Rosebud, SD); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164076741) · Data from the CMS NPPES public registry.