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MISTY NELSON LICSW, LADC
NPI 1093436941
Social Worker - Clinical in Willmar, MN

Active since September 08, 2022PECOS Enrolled
1809 19TH AVE SW, WILLMAR, MN 56201(320) 441-7000(320) 441-7005 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2026, Dec 2, 2025, Sep 8, 2022 (3 updates tracked since 2022).

About Misty Nelson Licsw, Ladc NPPES

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

MISTY NELSON LICSW, LADC (NPI 1093436941) is an individual clinical provider in Willmar, Minnesota, licensed in Minnesota (32165) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1093436941
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISTY NELSONCredential: LICSW, LADC
Location Address1809 19TH AVE SWWillmar, MN 56201-4946
Mailing Address1809 19th Ave SwWillmar, MN 56201-4946 · (320) 441-7000 · Fax (320) 441-7005
Phone(320) 441-7000
Fax(320) 441-7005
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 8, 2022
Last NPPES UpdateApril 9, 20263 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1093436941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 32165
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 30426 (MN)
1809 19TH AVE SW, Willmar, MN 56201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misty Nelson Licsw, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668959859
PECOS Enrollment IDI20260120000667
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 Misty Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Knutson Counseling & Seminars, Inc.
Same address
Mental Health
1809 19TH AVE SW
Willmar, MN 56201
  • Reassigned Medicare billing, Minnesota enrollment
  • 6 clinicians in this Medicare group
NPI 1568784668 (320) 441-7000

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 56201 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.

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.

MS. JENNIFER MARIE WEBB
Social Worker (Clinical)
1809 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 741-7000
KNUTSON COUNSELING & SEMINARS, INC.
Counselor (Mental Health)
1809 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 441-7000

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 Misty Nelson's NPI number?

The NPI number for Misty Nelson is 1093436941. It was assigned to this individual provider in the NPPES registry on September 8, 2022.

Where is Misty Nelson located?

Misty Nelson practices at 1809 19th Ave SW, Willmar, MN 56201. The listed phone number is (320) 441-7000.

What is Misty Nelson's specialty?

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

Is Misty Nelson enrolled in Medicare?

Yes. Misty Nelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Misty Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misty Nelson reassigns Medicare benefits to Knutson Counseling & Seminars, Inc. (Willmar, 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 Misty Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Misty Nelson accept?

Health plans from HealthPartners list Misty 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 Misty Nelson was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.