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KAREN K NELSON MSW
NPI 1184889503
Social Worker - Clinical in Marquette, MI

Active since July 24, 2008PECOS EnrolledAccepts Medicare Assignment
205 S FRONT ST STE D, MARQUETTE, MI 49855(906) 236-5942(906) 273-1050 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen K Nelson Msw NPPES

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

KAREN K NELSON MSW (NPI 1184889503) is an individual clinical provider in Marquette, Michigan, licensed in Michigan (6801062796) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1184889503
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAREN K NELSONCredential: MSW
Location Address205 S FRONT ST STE DMarquette, MI 49855-4629
Mailing Address205 S Front St Ste DMarquette, MI 49855-4629 · (906) 236-5942 · Fax (906) 273-1050
Phone(906) 236-5942
Fax(906) 273-1050
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 24, 2008
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 25, 2022
✔ NPI 1184889503 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 MI · 6801062796
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.
205 S FRONT ST STE D, Marquette, MI 49855
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.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

Karen K Nelson Msw 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 ID2163560293
PECOS Enrollment IDI20091111000180
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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
284 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49855 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 $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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

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

SUSAN MARIE DEGROOT MSW
Social Worker (Clinical)
205 S FRONT ST STE D
MARQUETTE, MI 49855
Marquette County (906) 235-1800

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 Karen Nelson's NPI number?

The NPI number for Karen Nelson is 1184889503. It was assigned to this individual provider in the NPPES registry on July 24, 2008.

Where is Karen Nelson located?

Karen Nelson practices at 205 S Front St Ste D, Marquette, MI 49855. The listed phone number is (906) 236-5942.

What is Karen Nelson's specialty?

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

Is Karen Nelson enrolled in Medicare?

Yes. Karen 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 Karen Nelson accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Karen 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 Karen Nelson was last updated on March 28, 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.