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KELSEY WILSON LICSW, LISW
NPI 1285315333
Social Worker - Clinical in South Sioux City, NE

Active since July 31, 2023PECOS Enrolled
3410 FUTURES DR, SOUTH SIOUX CITY, NE 68776(402) 412-7242(712) 252-5920 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelsey Wilson Licsw, Lisw NPPES

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

KELSEY WILSON LICSW, LISW (NPI 1285315333) is an individual clinical provider in South Sioux City, Nebraska, licensed in Nebraska (3374) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285315333
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELSEY WILSONCredential: LICSW, LISW
Location Address3410 FUTURES DRSouth Sioux City, NE 68776-3917
Mailing Address504 Division StJefferson, SD 57038-2039 · (712) 898-4800
Phone(402) 412-7242
Fax(712) 252-5920
Sole ProprietorNo
Enumeration DateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
✔ NPI 1285315333 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 NE · 3374✔ Licensed in IA · 095606
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.
3410 FUTURES DR, South Sioux City, NE 68776
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Nebraska, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Wilson Licsw, Lisw 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 Kelsey Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Siouxland Community Health Center
Same address
Federally Qualified Health Center (FQHC)
3410 FUTURES DR
South Sioux City, NE 68776
  • Reassigned Medicare billing, Nebraska and Iowa enrollments
  • Also billed through NPI 1558355305 (Iowa)
  • 20 clinicians in this Medicare group
NPI 1912378480 (712) 252-2477

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 68776 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 $52.69 – $160.21
Typical copayment $0.00 (range $13.17 – $40.05)
Most-billed visit code NA
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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 20

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

ST. LUKE'S HEALTH RESOURCES
Occupational Therapist
3410 FUTURES DR
SOUTH SIOUX CITY, NE 68776
Dakota County (402) 412-4271
KRISTINE KLEVE PT
Physical Therapist
3410 FUTURES DR
SOUTH SIOUX CITY, NE 68776
Dakota County (402) 412-4271
MR. THOMAS GERALD MORGAN M.D.
Family Medicine
3410 FUTURES DR
SOUTH SIOUX CITY, NE 68776
Dakota County (712) 252-2477
MARY MCGOWAN ARNP
Nurse Practitioner (Family)
3410 FUTURES DR
SOUTH SIOUX CITY, NE 68776
Dakota County (402) 412-7242
RICHARD JAMES THOMPSON D.O.
Specialist
3410 FUTURES DR
SOUTH SIOUX CITY, NE 68776
Dakota County (402) 412-4270
KORY ZIMNEY PT
Physical Therapist
3410 FUTURES DR
SOUTH SIOUX CITY, NE 68776
Dakota County (402) 412-4271
LABONE LLC
Clinical Medical Laboratory
3410 FUTURES DR
S SIOUX CITY, NE 68776
Dakota County (402) 412-7242
PREMALA T MENEZES OT
Occupational Therapist
3410 FUTURES DR
SOUTH SIOUX CITY, NE 68776
Dakota County (402) 412-4271

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 Kelsey Wilson's NPI number?

The NPI number for Kelsey Wilson is 1285315333. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Kelsey Wilson located?

Kelsey Wilson practices at 3410 Futures Dr, South Sioux City, NE 68776. The listed phone number is (402) 412-7242.

What is Kelsey Wilson's specialty?

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

Is Kelsey Wilson enrolled in Medicare?

Yes. Kelsey Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsey Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Wilson reassigns Medicare benefits to Siouxland Community Health Center (South Sioux City, NE). 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 Kelsey Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Wilson accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Nebraska, Oscar Health, Oscar Insurance Company and Sanford Health Plan and 1 other insurer list Kelsey Wilson 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 Kelsey Wilson was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.