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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHIELA KOUGH LMSW
NPI 1225030703
Social Worker - Clinical in Hutchinson, KS

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
1805 1/2 E 17TH AVE, HUTCHINSON, KS 67501(405) 493-6455(620) 532-3710 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 14, 2026, Jan 24, 2017 (2 updates tracked since 2017).

About Shiela Kough Lmsw NPPES

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

SHIELA KOUGH LMSW (NPI 1225030703) is an individual clinical provider in Hutchinson, Kansas, licensed in Kansas (4624) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1225030703
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHIELA KOUGHCredential: LMSW
Location Address1805 1/2 E 17TH AVEHutchinson, KS 67501-1102
Mailing Address701 Cedar Lake Blvd Ste 120Oklahoma City, OK 73114-7815 · (405) 445-1210 · Fax (405) 445-3310
Phone(405) 493-6455
Fax(620) 532-3710
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 15, 2005
Last NPPES UpdateOctober 14, 20262 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1225030703 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 KS · 4624✔ Licensed in TX · 117505✔ Licensed in OK · 21544
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.
1805 1/2 E 17TH AVE, Hutchinson, KS 67501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Shiela Kough Lmsw 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 ID3173593415
PECOS Enrollment IDI20170202002385, I20251123000025
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 Reassignments

2

Medicare enrollment records show Shiela Kough reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Williams Medical Group Practice, LLC
240 mi
Family Medicine
6744 NW CACHE RD
Lawton, OK 73505
  • Reassigned Medicare billing, Kansas and Oklahoma enrollments
  • 92 clinicians in this Medicare group
NPI 1346608809 (580) 536-9355
Dcs Medical PA
346 mi
Urgent Care
1301 W PRINCETON DRIVE, SUITE 103
Princeton, TX 75407
  • Reassigned Medicare billing, Texas enrollment
  • 186 clinicians in this Medicare group
NPI 1285082768 (972) 597-9971

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 67501 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 $53.00 – $161.67
Typical copayment $0.00 (range $13.25 – $40.41)
Most-billed visit code NA
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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 3

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

SIDNEY ANN KOTHE MHS, PA-C
Physician Assistant
1805 1/2 E 17TH AVE
HUTCHINSON, KS 67501
Reno County (620) 615-7197
WILLIAMS MEDICAL GROUP PRACTICE, LLC
Clinic/Center (Rural Health)
1805 1/2 E 17TH AVE
HUTCHINSON, KS 67501
Reno County (620) 615-7197
MRS. GRACE M CASTANEDA LSCSW
Social Worker (Clinical)
1805 1/2 E 17TH AVE
HUTCHINSON, KS 67501
Reno County (620) 615-7197

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 Shiela Kough's NPI number?

The NPI number for Shiela Kough is 1225030703. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Shiela Kough located?

Shiela Kough practices at 1805 1/2 E 17th Ave, Hutchinson, KS 67501. The listed phone number is (405) 493-6455.

What is Shiela Kough's specialty?

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

Is Shiela Kough enrolled in Medicare?

Yes. Shiela Kough 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 Shiela Kough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shiela Kough reassigns Medicare benefits to 2 organizations: Williams Medical Group Practice, LLC (Lawton, OK) and Dcs Medical PA (Princeton, TX). 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 Shiela Kough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shiela Kough accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 5 other insurers list Shiela Kough 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 Shiela Kough was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.