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MICHAEL WHETZEL
NPI 1508279811
Social Worker - Clinical in Rapid City, SD

Active since June 04, 2014PECOS Enrolled
3200 CANYON LAKE DR, RAPID CITY, SD 57702(605) 718-5095 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Whetzel NPPES

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

MICHAEL WHETZEL (NPI 1508279811) is an individual clinical provider in Rapid City, South Dakota, licensed in Ohio (I.1700737) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508279811
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL WHETZEL
Location Address3200 CANYON LAKE DRRapid City, SD 57702-8114
Mailing Address3200 Canyon Lake DrRapid City, SD 57702-8114 · (605) 355-2500
Phone(605) 718-5095
Sole ProprietorNo
Enumeration DateJune 4, 2014
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1508279811 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 OH · I.1700737
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.
3200 CANYON LAKE DR, Rapid City, SD 57702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Whetzel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Michael Whetzel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Great Plains Tribal Chairmen's Health Board
Same address
Pharmacy
3200 CANYON LAKE DR
Rapid City, SD 57702
  • Reassigned Medicare billing, Texas enrollment
  • 119 clinicians in this Medicare group
NPI 1376105452 (605) 721-1922
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
798 mi
Public Health or Welfare
2400 W DATSI ST
Camp Verde, AZ 86322
  • Reassigned Medicare billing, Texas enrollment
  • 599 clinicians in this Medicare group
NPI 1205859618 (928) 567-2168

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 57702 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.

ABBYGAIL BINGHAM MLT
Technician, Pathology
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2229
JOLENE PETERSON MSW LCSW PIP
Social Worker (Clinical)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2215
MS. DONNA MARIE HUBER RN
Registered Nurse
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2298
MICHELLE GIBALDI
Technician, Pathology (Medical Laboratory)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2228
KATHY HOGG
Registered Nurse (Case Management)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2500
OGLALA SIOUX TRIBE
Non-emergency Medical Transport (VAN)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 343-7832
FRANCES MARIE GRAY RN
Registered Nurse
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2500
MRS. JEANETTE KAY OFSTAD MT(ASCP)
Specialist/Technologist, Pathology (Medical Technologist)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2228

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 Michael Whetzel's NPI number?

The NPI number for Michael Whetzel is 1508279811. It was assigned to this individual provider in the NPPES registry on June 4, 2014.

Where is Michael Whetzel located?

Michael Whetzel practices at 3200 Canyon Lake Dr, Rapid City, SD 57702. The listed phone number is (605) 718-5095.

What is Michael Whetzel's specialty?

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

Is Michael Whetzel enrolled in Medicare?

Yes. Michael Whetzel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Whetzel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Whetzel reassigns Medicare benefits to 2 organizations: Great Plains Tribal Chairmen's Health Board (Rapid City, SD) and Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm (Camp Verde, AZ). Each 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 Michael Whetzel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Whetzel accept?

Health plans from Avera Health Plans list Michael Whetzel 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 Michael Whetzel was last updated on February 29, 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.