BLAIR SEDLACEK CSW-PIP
NPI 1962651653
Social Worker in Gregory, SD
About Blair Sedlacek Csw-pip NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAIR SEDLACEK CSW-PIP (NPI 1962651653) is an individual social worker in Gregory, South Dakota, licensed in South Dakota (3338) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
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
Blair Sedlacek Csw-pip 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 Reassignments
2Medicare enrollment records show Blair Sedlacek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gregory, SD 57533
- Reassigned Medicare billing, South Dakota enrollment
- 1,277 clinicians in this Medicare group
Pierre, SD 57501
- Reassigned Medicare billing, South Dakota enrollment
- 56 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.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Blair Sedlacek's NPI number?
The NPI number for Blair Sedlacek is 1962651653. It was assigned to this individual provider in the NPPES registry on September 17, 2008.
Where is Blair Sedlacek located?
Blair Sedlacek practices at 405 Whittecar Ave, Gregory, SD 57533. The listed phone number is (605) 835-9611.
What is Blair Sedlacek's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Blair Sedlacek enrolled in Medicare?
Yes. Blair Sedlacek 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 Blair Sedlacek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blair Sedlacek reassigns Medicare benefits to 2 organizations: Avera Mckennan (Gregory, SD) and Rising Hope Counseling, LLC (Pierre, SD). 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 Blair Sedlacek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blair Sedlacek accept?
Health plans from Avera Health Plans, Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Blair Sedlacek 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 Blair Sedlacek was last updated on October 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Blair Sedlacek, CSW-PIP · NPI 1962651653
Social Worker provider in Gregory, South Dakota. Individual provider, active in the CMS NPPES registry since September 17, 2008.
## Identity
- **NPI:** 1962651653 (Entity type: Individual)
- **Enumerated:** September 17, 2008
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 3338 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 405 WHITTECAR AVE, Gregory, SD 57533-1340
- **Phone:** (605) 835-9611 · **Fax:** (605) 835-8033
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Avera Mckennan (NPI 1275562027, Gregory, SD); Rising Hope Counseling, LLC (NPI 1780190967, Pierre, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** October 23, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1962651653) · Data from the CMS NPPES public registry.