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DR. DARLENE MARIE WILCOX PH.D., LP
NPI 1730412867
Psychologist - Clinical in Rapid City, SD

Active since September 08, 2009PECOS EnrolledAccepts Medicare Assignment
1770 RAND RD, RAPID CITY, SD 57702(605) 791-1514(844) 831-2349 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 10, 2025, Aug 18, 2023 (2 updates tracked since 2023).

About Dr. Darlene Marie Wilcox Ph.d., Lp NPPES

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

DR. DARLENE MARIE WILCOX PH.D., LP (NPI 1730412867) is an individual clinical provider in Rapid City, South Dakota, licensed in South Dakota (680) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of University Of North Dakota School Of Medicine (1999).

NPPES Registry Identity

NPI1730412867
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DARLENE MARIE WILCOXCredential: PH.D., LP
Location Address1770 RAND RDRapid City, SD 57702-9347
Mailing Address1770 Rand RdRapid City, SD 57702-9347 · (605) 791-1514 · Fax (844) 831-2349
Phone(605) 791-1514
Fax(844) 831-2349
Sole ProprietorYes
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1999
Enumeration DateSeptember 8, 2009
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1730412867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in SD · 680✔ Licensed in MN · 5095
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1770 RAND RD, 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, Sanford Health Plan, UnitedHealthcare and more.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

Dr. Darlene Marie Wilcox Ph.d., Lp 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 ID5496880890
PECOS Enrollment IDI20250418001916
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

4

Medicare enrollment records show Darlene Wilcox reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Great Plains Tribal Chairmen's Health Board
1.9 mi
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
Bridgewater Behavioral Health, LLC
2.2 mi
Psychologist
902 COLUMBUS ST
Rapid City, SD 57701
  • Reassigned Medicare billing, South Dakota enrollment
  • 4 clinicians in this Medicare group
NPI 1588048201 (605) 791-1514
Pine Ridge Indian Health Service Hospital
72 mi
Clinic/Center
1000 HEALTH CENTER RD
Kyle, SD 57752
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
NPI 1003963497 (605) 455-2451
Us Dept Of Hhs
198 mi
Clinic/Center
100 CHEYENNE AVE
Lame Deer, MT 59043
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: U S Health Dept Of Health & Human Services
  • 306 clinicians in this Medicare group
NPI 1053487991 (406) 477-4400

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
$167.23 typical visit price
range $55.52 – $167.23
Typical copayment $41.80 (range $13.88 – $41.80)
Most-billed visit code 99205
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
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 2

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

DR. ERIC D. TRAUB PSY.D.
Psychologist
1770 RAND RD
RAPID CITY, SD 57702
Pennington County (605) 791-1514
GENNI L. GOSCHKE PSY.D.
Psychologist
1770 RAND RD
RAPID CITY, SD 57702
Pennington County (605) 791-1514

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 Darlene Wilcox's NPI number?

The NPI number for Darlene Wilcox is 1730412867. It was assigned to this individual provider in the NPPES registry on September 8, 2009.

Where is Darlene Wilcox located?

Darlene Wilcox practices at 1770 Rand Rd, Rapid City, SD 57702. The listed phone number is (605) 791-1514.

What is Darlene Wilcox's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Darlene Wilcox enrolled in Medicare?

Yes. Darlene Wilcox 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 organizations bill Medicare for Darlene Wilcox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darlene Wilcox reassigns Medicare benefits to 4 organizations: Great Plains Tribal Chairmen's Health Board (Rapid City, SD), Bridgewater Behavioral Health, LLC (Rapid City, SD), Pine Ridge Indian Health Service Hospital (Kyle, SD) and Us Dept Of Hhs (Lame Deer, MT). 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 Darlene Wilcox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Darlene Wilcox accept?

Health plans from Avera Health Plans, Sanford Health Plan, UnitedHealthcare and Wellmark of South Dakota, Inc. list Darlene Wilcox 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 Darlene Wilcox was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.