NICOLE MARIE PRUST LMSW
NPI 1902317019
Social Worker - Clinical in Wakefield, MI

Q: What is Nicole Prust's NPI number?

The NPI number for Nicole Prust is 1902317019. It was assigned to this individual provider in the NPPES registry on October 16, 2017.

Q: What is Nicole Prust's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Prust was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 16, 2017PECOS Enrolled

103 W US HIGHWAY 2, WAKEFIELD, MI 49968(906) 229-6120 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 26, 2021, Oct 25, 2017, Oct 16, 2017 (3 updates tracked since 2017).

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About Nicole Marie Prust Lmsw NPPES

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

NICOLE MARIE PRUST LMSW (NPI 1902317019) is an individual clinical provider in Wakefield, Michigan, licensed in Michigan (6801110599) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902317019

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNICOLE MARIE PRUSTCredential: LMSW

Location Address103 W US HIGHWAY 2Wakefield, MI 49968-9515

Mailing Address343 W Southland AveIronwood, MI 49938-1066

Phone(906) 229-6120

Sole ProprietorYes

Enumeration DateOctober 16, 2017

Last NPPES UpdateJuly 26, 20213 updates tracked since enumeration

NPPES CertifiedJuly 26, 2021

✔ NPI 1902317019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801110599

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 6801101923 (MI)

103 W US HIGHWAY 2, Wakefield, MI 49968

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Marie Prust Lmsw 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 Reassignment

Medicare enrollment records show Nicole Prust reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gogebic County Community Mental Health Authority

Same address

Mental Health

103 W US HIGHWAY 2
Wakefield, MI 49968

Reassigned Medicare billing, Michigan enrollment
7 clinicians in this Medicare group

NPI 1912957143 (906) 229-6100

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 49968 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 $54.34 – $166.68

Typical copayment $0.00 (range $13.58 – $41.67)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

HANNA MAE KOIVISTO

Case Manager/Care Coordinator