MICHELLE MERRIGAN HINSETH CSWPIP
NPI 1235212754
Social Worker - Clinical in Vermillion, SD
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
Specialties & Licenses
Other Names 1
Other Identifiers 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Michelle Hinseth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vermillion, SD 57069
- Reassigned Medicare billing, South Dakota enrollment
- 43 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.
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, SDPhysician 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.
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.
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.
VERMILLION, SD 57069
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.
Which organization bills Medicare for Michelle Hinseth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Hinseth reassigns Medicare benefits to Sanford Health Network (Vermillion, SD). 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 Michelle Hinseth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michelle Hinseth accept?
Health plans from Sanford Health Plan, Security Health Plan and Wellmark of South Dakota, Inc. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Michelle Merrigan Hinseth, CSWPIP · NPI 1235212754
Clinical provider in Vermillion, South Dakota. Individual provider, active in the CMS NPPES registry since October 21, 2006.
## Identity
- **NPI:** 1235212754 (Entity type: Individual)
- **Enumerated:** October 21, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 2114 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 S PLUM ST, Vermillion, SD 57069-3346
- **Phone:** (605) 638-8317 · **Fax:** (605) 624-4001
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sanford Health Network (NPI 1013921733, Vermillion, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** May 7, 2024
- **Other identifiers:** Medicaid 6571350 (SD)
---
Source: [NPI Profile](https://npiprofile.com/npi/1235212754) · Data from the CMS NPPES public registry.