1. Home
  2. Directory
  3. Florida
  4. Orlando
  5. Social Worker
  6. NPI Profile

KENYA NICOLE NELSON
NPI 1265089320
Social Worker - Clinical in Orlando, FL

Active since August 23, 2019PECOS Enrolled
111 N ORANGE AVE STE 812, ORLANDO, FL 32801(888) 904-5636 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2026, Jul 8, 2024, Jun 28, 2024 and 1 more (4 updates tracked since 2019).

About Kenya Nicole Nelson NPPES

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

KENYA NICOLE NELSON (NPI 1265089320) is an individual clinical provider in Orlando, Florida, licensed in Texas (61444) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1265089320
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENYA NICOLE NELSON
Location Address111 N ORANGE AVE STE 812Orlando, FL 32801-2316
Mailing Address1228 Flower Ridge DrLancaster, TX 75134-1662 · (469) 265-5603
Phone(888) 904-5636
Sole ProprietorYes
Enumeration DateAugust 23, 2019
Last NPPES UpdateMarch 11, 20264 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1265089320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in TX · 61444✔ Licensed in CA · 135608✔ Licensed in LA · 18636✔ Licensed in FL · SW25292
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.
111 N ORANGE AVE STE 812, Orlando, FL 32801
Open in Google Maps ↗

Secondary Practice Locations 5

Location 13730 Kirby Dr Ste 1200Houston, TX 77098-3985 · Phone (888) 904-5636
Location 23017 Douglas Blvd Ste 300Roseville, CA 95661-3850 · Phone (888) 904-5636
Location 3113 S Monroe St Ste 111Tallahassee, FL 32301-1529 · Phone (888) 904-5636
Location 411816 Inwood Rd # 3303Dallas, TX 75244-8011 · Phone (469) 215-7232
Location 511408 Lake Sherwood Ave N Ste ABaton Rouge, LA 70816-0421 · Phone (225) 261-7143 · Fax (225) 250-1026

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenya Nicole Nelson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kenya Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prosperity Rising Homes LLC
993 mi
Case Management
1650 W ROSEDALE ST STE 307
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1952158826 (603) 289-7047

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 32801 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 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Kenya Nelson's NPI number?

The NPI number for Kenya Nelson is 1265089320. It was assigned to this individual provider in the NPPES registry on August 23, 2019.

Where is Kenya Nelson located?

Kenya Nelson practices at 111 N Orange Ave Ste 812, Orlando, FL 32801. The listed phone number is (888) 904-5636.

What is Kenya Nelson's specialty?

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

Is Kenya Nelson enrolled in Medicare?

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

Which organization bills Medicare for Kenya Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenya Nelson reassigns Medicare benefits to Prosperity Rising Homes LLC (Fort Worth, TX). 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 Kenya Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenya Nelson accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Kenya 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 Kenya Nelson was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.