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KATHLEEN JEAN NELSON M.S. ED.
NPI 1033340203
Counselor - Professional in Quincy, IL

Active since August 05, 2009PECOS EnrolledAccepts Medicare Assignment
1025 MAINE ST, QUINCY, IL 62301(217) 222-6550(217) 277-2253 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2023, Mar 6, 2020 (2 updates tracked since 2020).

About Kathleen Jean Nelson M.s. Ed. NPPES

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

KATHLEEN JEAN NELSON M.S. ED. (NPI 1033340203) is an individual professional provider in Quincy, Illinois, licensed in Illinois (180.008359) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Quincy, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1033340203
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHLEEN JEAN NELSONCredential: M.S. ED.
Location Address1025 MAINE STQuincy, IL 62301-4096
Mailing Address1025 Maine StQuincy, IL 62301-4096 · (217) 222-6550 · Fax (217) 277-2253
Phone(217) 222-6550
Fax(217) 277-2253
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 5, 2009
Last NPPES UpdateNovember 13, 20232 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
✔ NPI 1033340203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180.008359✔ Licensed in IL · 178.007110
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 180.008359 (IL)
1025 MAINE ST, Quincy, IL 62301
Open in Google Maps ↗

Secondary Practice Location 1

Location 1131 N 4th StQuincy, IL 62301-2913 · Phone (217) 223-7492 ext. 404 · Fax (217) 223-7516

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

Kathleen Jean Nelson M.s. Ed. 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 ID1850741190
PECOS Enrollment IDI20231228001370
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 Kathleen Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Quincy Physicians & Surgeons Clinic, PLLC
Same address
Clinic/Center
1025 MAINE ST
Quincy, IL 62301
  • Reassigned Medicare billing, Illinois enrollment
  • 252 clinicians in this Medicare group
NPI 1548234198 (217) 222-6550

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 20

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

WILLIAM J. HOLT M.D.
Orthopaedic Surgery
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
NICOLE ANTOINETTE SHIELDS MS, LCPC, QMHP
Counselor (Professional)
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
MRS. KRISTIN ELIZABETH-DANIEL THOMPSON DPT
Physical Therapist
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
TAYLOR J. MOORE DO
Family Medicine
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
ELIZABETH BAKER
Pharmacist
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
DANA B ALTMAN DO
Family Medicine
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
KATELYN M. FESSENDEN
Nurse Practitioner (Family)
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550

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 Kathleen Nelson's NPI number?

The NPI number for Kathleen Nelson is 1033340203. It was assigned to this individual provider in the NPPES registry on August 5, 2009.

Where is Kathleen Nelson located?

Kathleen Nelson practices at 1025 Maine St, Quincy, IL 62301. The listed phone number is (217) 222-6550.

What is Kathleen Nelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kathleen Nelson enrolled in Medicare?

Yes. Kathleen 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 Kathleen Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Nelson reassigns Medicare benefits to Quincy Physicians & Surgeons Clinic, PLLC (Quincy, IL). 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 Kathleen 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 Kathleen Nelson was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.