BLYTHE ELLEN NELSON LICSW
NPI 1003156761
Social Worker - Clinical in Coon Rapids, MN

Active since February 18, 2013PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433(763) 780-9155 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blythe Ellen Nelson Licsw NPPES

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

BLYTHE ELLEN NELSON LICSW (NPI 1003156761) is an individual clinical provider in Coon Rapids, Minnesota, licensed in Minnesota (20794) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1003156761
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBLYTHE ELLEN NELSONCredential: LICSW
Location Address9055 SPRINGBROOK DR NWCoon Rapids, MN 55433-5841
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 18, 2013
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 30, 2022
NPI 1003156761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 20794
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.

9055 SPRINGBROOK DR NW, Coon Rapids, MN 55433

Accepted 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

Blythe Ellen Nelson Licsw 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 ID143617001
PECOS Enrollment IDI20220422000807
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

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.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Psychiatry & Neurology (Pain Medicine)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Psychologist (Clinical)
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Audiologist
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Physical Therapist
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Family Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Internal Medicine
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Dietitian, Registered
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433
Dermatology
9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433

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 Blythe Nelson's NPI number?

The NPI number for Blythe Nelson is 1003156761. It was assigned to this individual provider in the NPPES registry on February 18, 2013.

Where is Blythe Nelson located?

Blythe Nelson practices at 9055 Springbrook Dr NW, Coon Rapids, MN 55433. The listed phone number is (763) 780-9155.

What is Blythe Nelson's specialty?

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

Is Blythe Nelson enrolled in Medicare?

Yes. Blythe Nelson 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.

What insurance does Blythe Nelson accept?

Health plans from HealthPartners list Blythe Nelson 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 Blythe Nelson was last updated on June 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.