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MICHELLE MERRIGAN HINSETH CSWPIP
NPI 1235212754
Social Worker - Clinical in Vermillion, SD

Active since October 21, 2006PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
20 S PLUM ST, VERMILLION, SD 57069(605) 638-8317(605) 624-4001 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2024, Feb 28, 2019 (2 updates tracked since 2019).

About Michelle Merrigan Hinseth Cswpip NPPES

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

MICHELLE MERRIGAN HINSETH CSWPIP (NPI 1235212754) is an individual clinical provider in Vermillion, South Dakota, licensed in South Dakota (2114) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Sanford Vermillion Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1235212754
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE MERRIGAN HINSETHCredential: CSWPIP
Location Address20 S PLUM STVermillion, SD 57069-3346
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 638-8317
Fax(605) 624-4001
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 21, 2006
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1235212754 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 SD · 2114
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.
20 S PLUM ST, Vermillion, SD 57069
Open in Google Maps ↗

Other Names 1

Former Name (1)Michelle Nicole Merrigan Cswpip

Other Identifiers 1

Medicaid6571350SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Merrigan Hinseth Cswpip 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 ID9931194610
PECOS Enrollment IDI20040420001111
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431336
Location20 South Plum StreetVermillion, SD 57069 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57069 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 $55.52 – $167.23
Typical copayment $0.00 (range $13.88 – $41.80)
Most-billed visit code NA
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

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.

SANFORD HOME HEALTH
Home Health
20 S PLUM ST
VERMILLION, SD 57069
Clay County (605) 624-2611
MARY J OLSON M.D.
Family Medicine
20 S PLUM ST
VERMILLION, SD 57069
Clay County (605) 624-9111
SANFORD HEALTH NETWORK
Family Medicine
20 S PLUM ST
VERMILLION, SD 57069
Clay County (605) 624-9111
DAKOTAH CARDA AU.D.
Audiologist
20 S PLUM ST
VERMILLION, SD 57069
Clay County (605) 677-3700
NICOLE JO SCHIMELPFENIG
Emergency Medicine
20 S PLUM ST
VERMILLION, SD 57069
Clay County (605) 677-3500
QUINN BIGELOW CANNON MD
Family Medicine
20 S PLUM ST
VERMILLION, SD 57069
Clay County (605) 677-3700
SANFORD VERMILLION HOSPITAL PHARMACY
Pharmacy (Institutional Pharmacy)
20 S PLUM ST
VERMILLION, SD 57069
Clay County (605) 638-8455
KATHRYN PETERSON PA-C
Physician Assistant
20 S PLUM ST
VERMILLION, SD 57069
Clay County (605) 677-3700

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 Hinseth's NPI number?

The NPI number for Michelle Hinseth is 1235212754. It was assigned to this individual provider in the NPPES registry on October 21, 2006. The provider is also known as Michelle Nicole Merrigan Cswpip.

Where is Michelle Hinseth located?

Michelle Hinseth practices at 20 S Plum St, Vermillion, SD 57069. The listed phone number is (605) 638-8317.

What is Michelle Hinseth's specialty?

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

Is Michelle Hinseth enrolled in Medicare?

Yes. Michelle Hinseth 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.

What insurance does Michelle Hinseth accept?

Health plans from Sanford Health Plan and Security Health Plan list Michelle Hinseth 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 Michelle Hinseth affiliated with any hospitals?

According to CMS data, Michelle Hinseth is affiliated with Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Hinseth was last updated on May 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.