KATELYN E NICHOLS MSW, LICSW
NPI 1801389911
Social Worker - Clinical in Golden Valley, MN
About Katelyn E Nichols Msw, Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN E NICHOLS MSW, LICSW (NPI 1801389911) is an individual clinical provider in Golden Valley, Minnesota, licensed in Minnesota (24502) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Katelyn E Nichols Msw, Licsw 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.
Medicare Billing Reassignments
6Medicare enrollment records show Katelyn Nichols reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Hope, MN 55428
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 955 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55427 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GOLDEN VALLEY, MN 55427
GOLDEN VALLEY, MN 55427
GOLDEN VALLEY, MN 55427
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 Katelyn Nichols's NPI number?
The NPI number for Katelyn Nichols is 1801389911. It was assigned to this individual provider in the NPPES registry on June 13, 2018.
Where is Katelyn Nichols located?
Katelyn Nichols practices at 701 Decatur Ave N Ste 109, Golden Valley, MN 55427. The listed phone number is (763) 746-2400.
What is Katelyn Nichols's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Katelyn Nichols enrolled in Medicare?
Yes. Katelyn Nichols 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 Katelyn Nichols's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Nichols reassigns Medicare benefits to 6 organizations: Fairview Express Care (New Hope, MN), Fairview Health Services (Edina, MN), Fairview Specialty Services (Minneapolis, MN), Healtheast Medical Research Institute (Saint Paul, MN), Healtheast St. John's Hospital (Saint Paul, MN) and 1 more organization, listed in the Medicare section above. 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 Katelyn Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katelyn Nichols was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Katelyn E Nichols, MSW, LICSW · NPI 1801389911
Clinical provider in Golden Valley, Minnesota. Individual provider, active in the CMS NPPES registry since June 13, 2018.
## Identity
- **NPI:** 1801389911 (Entity type: Individual)
- **Enumerated:** June 13, 2018
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 24502 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 DECATUR AVE N STE 109, Golden Valley, MN 55427-4363
- **Phone:** (763) 746-2400 · **Fax:** (763) 746-2401
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1316318074, New Hope, MN); Fairview Health Services (NPI 1699752915, Edina, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN); Healtheast St. John's Hospital (NPI 1558240853, Saint Paul, MN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 13, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1801389911) · Data from the CMS NPPES public registry.