KRISTEN A NELSON LCSW
NPI 1023631868
Social Worker - Clinical in Fort Collins, CO

Active since May 27, 2020PECOS EnrolledAccepts Medicare Assignment
99.47/100
CMS Quality Rating
1531 RIVERSIDE AVE, FORT COLLINS, CO 80524(970) 281-7837 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2022, Jan 25, 2022, May 27, 2020 (3 updates tracked since 2020).

About Kristen A Nelson Lcsw NPPES

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

KRISTEN A NELSON LCSW (NPI 1023631868) is an individual clinical provider in Fort Collins, Colorado, licensed in Colorado (CSW.09927255) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1023631868
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTEN A NELSONCredential: LCSW
Location Address1531 RIVERSIDE AVEFort Collins, CO 80524-4387
Mailing Address1531 Riverside AveFort Collins, CO 80524-4387 · (801) 376-4445
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 27, 2020
Last NPPES UpdateSeptember 6, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2022
✔ NPI 1023631868 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 CO · CSW.09927255
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.
1531 RIVERSIDE AVE, Fort Collins, CO 80524

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

Kristen A Nelson Lcsw 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 ID143639211
PECOS Enrollment IDI20210503001533
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 Kristen Nelson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
1537 RIVERSIDE AVE
Fort Collins, CO 80524
  • Reassigned Medicare billing, Colorado enrollment
  • 390 clinicians in this Medicare group
Adolescent and Children Mental Health
501 S CHIPETA WAY
Salt Lake City, UT 84108
  • Reassigned Medicare billing, Utah enrollment
  • 111 clinicians in this Medicare group
Psychiatry
501 S CHIPETA WAY
Salt Lake City, UT 84108
  • Reassigned Medicare billing, Utah enrollment
  • 295 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80524 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 $58.06 – $174.82
Typical copayment $0.00 (range $14.51 – $43.70)
Most-billed visit code NA
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

99.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

In Home Supportive Care
1531 RIVERSIDE AVE
FORT COLLINS, CO 80524
Marriage & Family Therapist
1531 RIVERSIDE AVE
FORT COLLINS, CO 80524

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 Kristen Nelson's NPI number?

The NPI number for Kristen Nelson is 1023631868. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Kristen Nelson located?

Kristen Nelson practices at 1531 Riverside Ave, Fort Collins, CO 80524. The listed phone number is (970) 281-7837.

What is Kristen Nelson's specialty?

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

Is Kristen Nelson enrolled in Medicare?

Yes. Kristen 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 organizations bill Medicare for Kristen Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Nelson reassigns Medicare benefits to 3 organizations: Heart Centered Counseling, PC (Fort Collins, CO), University Of Utah Pediatric Behavioral Health Services (Salt Lake City, UT) and University Of Utah Behavioral Health Services (Salt Lake City, UT). 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 Kristen 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 Kristen Nelson was last updated on September 6, 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.