MICHELLE RUSHTON MSW, LCSW
NPI 1235778861
Social Worker - Clinical in Jefferson, WI

Q: What is Michelle Rushton's NPI number?

The NPI number for Michelle Rushton is 1235778861. It was assigned to this individual provider in the NPPES registry on December 30, 2019.

Q: What is Michelle Rushton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michelle Rushton was last updated on October 12, 2023. 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.

Active since December 30, 2019PECOS EnrolledAccepts Medicare Assignment

1541 ANNEX RD, JEFFERSON, WI 53549(920) 674-3105 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 12, 2023, Dec 30, 2019 (2 updates tracked since 2019).

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About Michelle Rushton Msw, Lcsw NPPES

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

MICHELLE RUSHTON MSW, LCSW (NPI 1235778861) is an individual clinical provider in Jefferson, Wisconsin, licensed in Wisconsin (11451) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1235778861

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMICHELLE RUSHTONCredential: MSW, LCSW

Location Address1541 ANNEX RDJefferson, WI 53549-9803

Mailing Address1541 Annex RdJefferson, WI 53549-9803 · (920) 674-3105

Phone(920) 674-3105

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateDecember 30, 2019

Last NPPES UpdateOctober 12, 20232 updates tracked since enumeration

NPPES CertifiedOctober 12, 2023

✔ NPI 1235778861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WI · 11451

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.

Also ListedSocial WorkerTaxonomy 104100000X

1541 ANNEX RD, Jefferson, WI 53549

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MercyCare Health Plans, Quartz and more.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 Rushton Msw, Lcsw 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 ID5597111369

PECOS Enrollment IDI20231031000993

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53549 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 $53.90 – $163.24

Typical copayment $0.00 (range $13.47 – $40.81)

Most-billed visit code NA

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 20

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

KARI LYNN KUFFER MS

Case Manager/Care Coordinator