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MARYELLEN KAY HILTON LCSW, QMHP
NPI 1982436432
Social Worker in Pierre, SD

Active since August 14, 2024PECOS Enrolled
2001 EASTGATE, PIERRE, SD 57501(605) 224-5811 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 17, 2025, Aug 14, 2024 (2 updates tracked since 2024).

About Maryellen Kay Hilton Lcsw, Qmhp NPPES

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

MARYELLEN KAY HILTON LCSW, QMHP (NPI 1982436432) is an individual social worker in Pierre, South Dakota, licensed in South Dakota (6341) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1982436432
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMARYELLEN KAY HILTONCredential: LCSW, QMHP
Location Address2001 EASTGATEPierre, SD 57501-5691
Mailing Address2001 EastgatePierre, SD 57501-5691 · (605) 224-5811
Phone(605) 224-5811
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 14, 2024
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1982436432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in SD · 6341
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6341 (SD)
2001 EASTGATE, Pierre, SD 57501
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryellen Kay Hilton Lcsw, Qmhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163920463
PECOS Enrollment IDI20250806004397
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 Maryellen Hilton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Capital Area Counseling Service, Inc
Same address
Clinical
2001 EASTGATE
Pierre, SD 57501
  • Reassigned Medicare billing, South Dakota enrollment
  • 15 clinicians in this Medicare group
NPI 1467449157 (605) 224-5811

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

VERONICA BELSTON LPC
Counselor (Mental Health)
2001 EASTGATE
PIERRE, SD 57501
Hughes County (605) 295-4791
CAPITAL AREA COUNSELING SERVICE, INC
Social Worker (Clinical)
2001 EASTGATE
PIERRE, SD 57501
Hughes County (605) 224-5811
SHELLI RODRIGUES LCSW-PIP, QMHP
Social Worker (Clinical)
2001 EASTGATE
PIERRE, SD 57501
Hughes County (605) 224-5811
ANELIESE SAUKEL LCSW, LAC, QMHP
Social Worker
2001 EASTGATE
PIERRE, SD 57501
Hughes County (605) 224-5811
JESSICA FOTH LCSW-PIP, LAC, QMHP
Social Worker (Clinical)
2001 EASTGATE
PIERRE, SD 57501
Hughes County (605) 224-5811
SHELBY KAY MAGORIEN LCSW
Social Worker
2001 EASTGATE
PIERRE, SD 57501
Hughes County (605) 224-5811
SHAUN R KLINGER LPC, QMHP
Counselor (Professional)
2001 EASTGATE
PIERRE, SD 57501
Hughes County (605) 224-5811

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 Maryellen Hilton's NPI number?

The NPI number for Maryellen Hilton is 1982436432. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Maryellen Hilton located?

Maryellen Hilton practices at 2001 Eastgate, Pierre, SD 57501. The listed phone number is (605) 224-5811.

What is Maryellen Hilton's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Maryellen Hilton enrolled in Medicare?

Yes. Maryellen Hilton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maryellen Hilton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryellen Hilton reassigns Medicare benefits to Capital Area Counseling Service, Inc (Pierre, SD). The 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 Maryellen Hilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maryellen Hilton accept?

Health plans from Sanford Health Plan and Wellmark of South Dakota, Inc. list Maryellen Hilton 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 Maryellen Hilton was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.