BLYTHE ELLEN NELSON LICSW
NPI 1003156761
Social Worker - Clinical in Coon Rapids, MN
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Blythe Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coon Rapids, MN 55433
- Reassigned Medicare billing, Minnesota enrollment
- 2,609 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
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.
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.
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.
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.
COON RAPIDS, MN 55433
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.
Which organization bills Medicare for Blythe Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blythe Nelson reassigns Medicare benefits to Allina Health System (Coon Rapids, MN). 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 Blythe Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Blythe Nelson was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Blythe Ellen Nelson, LICSW · NPI 1003156761
Clinical provider in Coon Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since February 18, 2013.
## Identity
- **NPI:** 1003156761 (Entity type: Individual)
- **Enumerated:** February 18, 2013
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 20794 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9055 SPRINGBROOK DR NW, Coon Rapids, MN 55433-5841
- **Phone:** (763) 780-9155
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Allina Health System (NPI 1295031649, Coon Rapids, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** June 30, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1003156761) · Data from the CMS NPPES public registry.