DONNA NELSON CSW
NPI 1750974655
Social Worker in Sioux Falls, SD

Active since February 11, 2021PECOS EnrolledAccepts Medicare Assignment
5117 S CROSSING PL STE 3, SIOUX FALLS, SD 57108(605) 306-3240 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Donna Nelson Csw NPPES

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

DONNA NELSON CSW (NPI 1750974655) is an individual social worker in Sioux Falls, South Dakota and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1750974655
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameDONNA NELSONCredential: CSW
Location Address5117 S CROSSING PL STE 3Sioux Falls, SD 57108-5270
Mailing Address5117 S Crossing Pl Ste 3Sioux Falls, SD 57108-5270 · (605) 306-3240
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 11, 2021
NPPES CertifiedFebruary 11, 2021
✔ NPI 1750974655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
5117 S CROSSING PL STE 3, Sioux Falls, SD 57108

Accepted Insurance

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

Donna Nelson Csw 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 ID1456700178
PECOS Enrollment IDI20231206003778
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 Reassignments

2

Medicare enrollment records show Donna Nelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
300 S ASH AVE
Bridgewater, SD 57319
  • Reassigned Medicare billing, South Dakota enrollment
Integrated Care And Consultation LLC
  • Reassigned Medicare billing, South Dakota enrollment
  • 10 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Donna Nelson's NPI number?

The NPI number for Donna Nelson is 1750974655. It was assigned to this individual provider in the NPPES registry on February 11, 2021.

Where is Donna Nelson located?

Donna Nelson practices at 5117 S Crossing Pl Ste 3, Sioux Falls, SD 57108. The listed phone number is (605) 306-3240.

What is Donna Nelson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Donna Nelson enrolled in Medicare?

Yes. Donna 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 organizations bill Medicare for Donna Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Nelson reassigns Medicare benefits to 2 organizations: Chance Counseling Services (Bridgewater, SD) and Integrated Care And Consultation LLC (SD). Each 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 Donna Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Nelson accept?

Health plans from Avera Health Plans, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Donna 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 Donna Nelson was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.