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MRS. MELANIE JEAN VANDERPOL-BAILEY LCSW-PIP
NPI 1326426008
Social Worker - Clinical in Sioux Falls, SD

Active since May 13, 2015PECOS EnrolledAccepts Medicare Assignment
2109 S NORTON AVE, SIOUX FALLS, SD 57105(605) 334-2696 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Melanie Jean Vanderpol-bailey Lcsw-pip NPPES

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

MRS. MELANIE JEAN VANDERPOL-BAILEY LCSW-PIP (NPI 1326426008) is an individual clinical provider in Sioux Falls, South Dakota, licensed in South Dakota (3002) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1326426008
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MELANIE JEAN VANDERPOL-BAILEYCredential: LCSW-PIP
Location Address2109 S NORTON AVESioux Falls, SD 57105-3730
Mailing Address2109 S Norton AveSioux Falls, SD 57105-3730 · (605) 334-2696 · Fax (605) 339-9944
Phone(605) 334-2696
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 13, 2015
✔ NPI 1326426008 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 · 3002
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.
2109 S NORTON AVE, Sioux Falls, SD 57105
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Other Names 1

Former Name (1)Mrs. Melanie Jean Graham Msw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Sanford Health Plan, Wellmark of South Dakota, Inc..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

Mrs. Melanie Jean Vanderpol-bailey Lcsw-pip 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 ID5193006104
PECOS Enrollment IDI20170106000553
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 Reassignment

Medicare enrollment records show Melanie Vanderpol-bailey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Roads Counseling & Consultation LLC
106 mi
Clinical
610 E 7TH ST
Platte, SD 57369
  • Reassigned Medicare billing, South Dakota enrollment
NPI 1427829894 (605) 550-2473

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 57105 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.

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.

SAM BOOTH MA
Counselor
2109 S NORTON AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 334-2696
MRS. ROBYN SHORES FOSTER CSW PIP
Social Worker (Clinical)
2109 S NORTON AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 334-2696
RACHEL MARTENS
Counselor (Mental Health)
2109 S NORTON AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 334-2696
DR. JENNIFER KAE HELKENN PH.D.
Psychologist (Clinical)
2109 S NORTON AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 334-2696
CHRISTINE CAROL THOMSON
Marriage & Family Therapist
2109 S NORTON AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 334-2696
MRS. AMY DAWN MARTINEZ MA
Marriage & Family Therapist
2109 S NORTON AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 334-2696
JESSICA M GALLARDO M.S., B.A., N.C.C.
Counselor (Mental Health)
2109 S NORTON AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 334-2696
KIMBERLY ERIN BELBEN LMFT
Marriage & Family Therapist
2109 S NORTON AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 274-2757

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 Melanie Vanderpol-bailey's NPI number?

The NPI number for Melanie Vanderpol-bailey is 1326426008. It was assigned to this individual provider in the NPPES registry on May 13, 2015. The provider is also known as Mrs. Melanie Jean Graham Msw.

Where is Melanie Vanderpol-bailey located?

Melanie Vanderpol-bailey practices at 2109 S Norton Ave, Sioux Falls, SD 57105. The listed phone number is (605) 334-2696.

What is Melanie Vanderpol-bailey's specialty?

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

Is Melanie Vanderpol-bailey enrolled in Medicare?

Yes. Melanie Vanderpol-bailey 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 Melanie Vanderpol-bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Vanderpol-bailey reassigns Medicare benefits to Rural Roads Counseling & Consultation LLC (Platte, 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 Melanie Vanderpol-bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Vanderpol-bailey accept?

Health plans from Avera Health Plans, Sanford Health Plan and Wellmark of South Dakota, Inc. list Melanie Vanderpol-bailey 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 Melanie Vanderpol-bailey was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.