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DR. MICHELLE MISCIONE PHD
NPI 1225689342
Social Worker - Clinical in Aspen, CO

Active since September 20, 2019PECOS Enrolled
87.96/100
CMS Quality Rating
401 CASTLE CREEK RD, ASPEN, CO 81611(970) 544-1147 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michelle Miscione Phd NPPES

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

DR. MICHELLE MISCIONE PHD (NPI 1225689342) is an individual clinical provider in Aspen, Colorado, licensed in Colorado (CSW09923373) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225689342
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. MICHELLE MISCIONECredential: PHD
Location Address401 CASTLE CREEK RDAspen, CO 81611-1159
Mailing Address116 S Bill Creek RdCarbondale, CO 81623-9427 · (970) 987-4180
Phone(970) 544-1147
Sole ProprietorNo
Enumeration DateSeptember 20, 2019
✔ NPI 1225689342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CO · CSW09923373
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.
401 CASTLE CREEK RD, Aspen, CO 81611
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michelle Miscione Phd 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 Reassignments

2

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

Aspen Valley Hospital Clinics, PLLC
Same address
Multi-Specialty
401 CASTLE CREEK RD
Aspen, CO 81611
  • Reassigned Medicare billing, Colorado enrollment
  • 42 clinicians in this Medicare group
NPI 1003306168 (970) 544-1261
Aspen Valley Hospital District
Same address
Critical Access
401 CASTLE CREEK RD
Aspen, CO 81611
  • Reassigned Medicare billing, Colorado enrollment
  • 106 clinicians in this Medicare group
NPI 1518960814 (970) 544-7684

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 81611 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 $58.06 – $174.82
Typical copayment $0.00 (range $14.51 – $43.70)
Most-billed visit code NA
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.43
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

ASPEN VALLEY HOSPITAL CLINICS, PLLC
Clinic/Center (Multi-Specialty)
401 CASTLE CREEK RD
ASPEN, CO 81611
Pitkin County (970) 544-1261
DR. HEATHER C MURPHY MD
Otolaryngology
401 CASTLE CREEK RD
ASPEN, CO 81611
Pitkin County (970) 544-1460
HANNAH LEBLANC DPT
Physical Therapist
401 CASTLE CREEK RD
ASPEN, CO 81611
Pitkin County (970) 925-1120
DARBI COX M.D.
Emergency Medicine
401 CASTLE CREEK RD
ASPEN, CO 81611
Pitkin County (970) 544-7343
DR. SCOTT ALAN GALLAGHER M.D.
Emergency Medicine
401 CASTLE CREEK RD
ASPEN, CO 81611
Pitkin County (970) 544-1228
DR. BRADLEY DAVID HOLMES M.D.
Hospitalist
401 CASTLE CREEK RD
ASPEN, CO 81611
Pitkin County (970) 987-4759
INTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Internal Medicine
401 CASTLE CREEK RD
ASPEN, CO 81611
Pitkin County (970) 298-5864
MINDCARE SOLUTIONS PC
Psychiatry & Neurology (Psychiatry)
401 CASTLE CREEK RD
ASPEN, CO 81611
Pitkin County (330) 536-3746

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 Michelle Miscione's NPI number?

The NPI number for Michelle Miscione is 1225689342. It was assigned to this individual provider in the NPPES registry on September 20, 2019.

Where is Michelle Miscione located?

Michelle Miscione practices at 401 Castle Creek Rd, Aspen, CO 81611. The listed phone number is (970) 544-1147.

What is Michelle Miscione's specialty?

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

Is Michelle Miscione enrolled in Medicare?

Yes. Michelle Miscione is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Miscione's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Miscione reassigns Medicare benefits to 2 organizations: Aspen Valley Hospital Clinics, PLLC (Aspen, CO) and Aspen Valley Hospital District (Aspen, CO). 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 Michelle Miscione's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Miscione was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.