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MICHELLE KUTZKE MSN, WHNP-BC
NPI 1972995371
Nurse Practitioner - Obstetrics & Gynecology in Sioux Falls, SD

Active since February 23, 2015PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
1305 W 18TH ST, SIOUX FALLS, SD 57105(605) 328-3000 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 17, 2018, Mar 17, 2018 (2 updates tracked since 2018).

About Michelle Kutzke Msn, Whnp-bc NPPES

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

MICHELLE KUTZKE MSN, WHNP-BC (NPI 1972995371) is an individual obstetrics & gynecology provider in Sioux Falls, South Dakota, licensed in South Dakota (CP000881) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1972995371
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameMICHELLE KUTZKECredential: MSN, WHNP-BC
Location Address1305 W 18TH STSioux Falls, SD 57105-0401
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 328-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 23, 2015
Last NPPES UpdateSeptember 28, 20232 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1972995371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in SD · CP000881
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3893 (MN)
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License CP000881 (SD)
1305 W 18TH ST, Sioux Falls, SD 57105
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. 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

Michelle Kutzke Msn, Whnp-bc 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 ID3779865373
PECOS Enrollment IDI20170113002429
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

3

Medicare enrollment records show Michelle Kutzke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Clinic
Same address
Anatomic Pathology & Clinical Pathology
1305 W 18TH ST
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
NPI 1043583537 (605) 333-1720
Sanford Medical Center
0.7 mi
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 clinicians in this Medicare group
NPI 1093090342 (605) 328-4897
Sanford Health Network
19 mi
Family Medicine
400 N HIAWATHA DRIVE
Canton, SD 57013
  • Reassigned Medicare billing, South Dakota and Minnesota enrollments
  • Also billed through NPI 1497703045 (Minnesota)
  • 422 clinicians in this Medicare group
NPI 1033140454 (605) 987-4378

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

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

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 57105 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.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

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.

JEDD D BIALAS CRNA
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000
AARON DANIEL MORTENSEN CRNA
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000
DR. JULIANA JOHNSON FERRI GUERRA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8700
PAUL E GILMORE CRNA
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000
BETH ABRAHAMSON
Nurse Practitioner (Neonatal)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-3006
RYAN LAWRENCE TENNANT CNP
Nurse Practitioner
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000
LCM PATHOLOGISTS PC
Pathology (Anatomic Pathology & Clinical Pathology)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (800) 284-9806
ARLEIGH TRAINOR MD
Emergency Medicine
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000

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 Michelle Kutzke's NPI number?

The NPI number for Michelle Kutzke is 1972995371. It was assigned to this individual provider in the NPPES registry on February 23, 2015.

Where is Michelle Kutzke located?

Michelle Kutzke practices at 1305 W 18th St, Sioux Falls, SD 57105. The listed phone number is (605) 328-3000.

What is Michelle Kutzke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Michelle Kutzke enrolled in Medicare?

Yes. Michelle Kutzke 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 Michelle Kutzke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Kutzke reassigns Medicare benefits to 3 organizations: Sanford Clinic (Sioux Falls, SD), Sanford Medical Center (Sioux Falls, SD) and Sanford Health Network (Canton, 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 Michelle Kutzke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Kutzke accept?

Health plans from Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Michelle Kutzke 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.

Is Michelle Kutzke affiliated with any hospitals?

According to CMS data, Michelle Kutzke is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle Kutzke was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.