MRS. CATHERINE MICHELLE MCCULLEY CNP
NPI 1881235471
Nurse Practitioner in Sioux Falls, SD

Q: What is Catherine Mcculley's NPI number?

The NPI number for Catherine Mcculley is 1881235471. It was assigned to this individual provider in the NPPES registry on October 4, 2019. The provider is also known as Miss Catherine Michelle Tibbetts Cnp.

Q: What is Catherine Mcculley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since October 04, 2019PECOS EnrolledAccepts Medicare Assignment

94/100

CMS Quality Rating

6709 S MINNESOTA AVE, SIOUX FALLS, SD 57108(605) 271-2700(605) 271-2277 Get Directions Write a Review

NPPES record last updated: October 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2019, Oct 5, 2019 (2 updates tracked since 2019).

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About Mrs. Catherine Michelle Mcculley Cnp NPPES

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

MRS. CATHERINE MICHELLE MCCULLEY CNP (NPI 1881235471) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP001647) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Avera Marshall Regional Medical Ctr, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1881235471

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. CATHERINE MICHELLE MCCULLEYCredential: CNP

Location Address6709 S MINNESOTA AVESioux Falls, SD 57108-2592

Mailing Address115 N Dakota Ave Apt 217Sioux Falls, SD 57104-6425 · (605) 370-0993

Phone(605) 271-2700

Fax(605) 271-2277

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 4, 2019

Last NPPES UpdateOctober 14, 20192 updates tracked since enumeration

✔ NPI 1881235471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in SD · CP001647

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CP001647 (SD)

6709 S MINNESOTA AVE, Sioux Falls, SD 57108

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Other Names 1

Former Name (1)Miss Catherine Michelle Tibbetts Cnp

Accepted Insurance

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

Mrs. Catherine Michelle Mcculley 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.

PECOS PAC ID6204269277

PECOS Enrollment IDI20191205000029, I20210521000855

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

128 services93 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Avera Marshall Regional Medical Ctr

Critical Access Hospitals · Marshall, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number241359

Location300 South Bruce StreetMarshall, MN 56258 · Lyon County

Emergency services

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430016

Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430027

Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.79

Promoting Interoperability

98.22

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604