MADISON MITZEL CNP
NPI 1336071828
Nurse Practitioner - Family in Aberdeen, SD
About Madison Mitzel Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISON MITZEL CNP (NPI 1336071828) is an individual family provider in Aberdeen, South Dakota, licensed in South Dakota (201153) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS, is affiliated with Avera St Lukes, and maintains a secondary practice location in Aberdeen.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
Madison Mitzel Cnp 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 Madison Mitzel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Aberdeen, SD 57401
- Reassigned Medicare billing, South Dakota enrollment
- Medicare enrollment name: Avera St Lukes
- 259 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.
Avera St Lukes
Acute Care Hospitals · Aberdeen, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ABERDEEN, SD 57401
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 Madison Mitzel's NPI number?
The NPI number for Madison Mitzel is 1336071828. It was assigned to this individual provider in the NPPES registry on June 1, 2026.
Where is Madison Mitzel located?
Madison Mitzel practices at 310 S Penn St Ste 203, Aberdeen, SD 57401. The listed phone number is (605) 622-2573.
What is Madison Mitzel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Madison Mitzel enrolled in Medicare?
Yes. Madison Mitzel 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 Madison Mitzel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madison Mitzel reassigns Medicare benefits to Avera St. Luke's (Aberdeen, 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 Madison Mitzel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Madison Mitzel accept?
Health plans from Wellmark of South Dakota, Inc. list Madison Mitzel 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 Madison Mitzel affiliated with any hospitals?
According to CMS data, Madison Mitzel is affiliated with Avera St Lukes.
When was this NPI record last updated?
The NPPES record for Madison Mitzel was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Madison Mitzel, CNP · NPI 1336071828
Family physician in Aberdeen, South Dakota. Individual provider, active in the CMS NPPES registry since June 1, 2026.
## Identity
- **NPI:** 1336071828 (Entity type: Individual)
- **Enumerated:** June 1, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 201153 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 310 S PENN ST STE 203, Aberdeen, SD 57401-4553
- **Phone:** (605) 622-2573
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Avera St. Luke's (NPI 1205090206, Aberdeen, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 1, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1336071828) · Data from the CMS NPPES public registry.