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AUSTIN DEAN NYSTROM
NPI 1861048928
Social Worker - Clinical in San Francisco, CA

Active since August 14, 2019PECOS Enrolled
1395 31ST AVE, SAN FRANCISCO, CA 94122(530) 212-0288 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2026, May 28, 2023, May 16, 2023 and 3 more (6 updates tracked since 2019).

About Austin Dean Nystrom NPPES

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

AUSTIN DEAN NYSTROM (NPI 1861048928) is an individual clinical provider in San Francisco, California, licensed in California (109696) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861048928
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameAUSTIN DEAN NYSTROM
Location Address1395 31ST AVESan Francisco, CA 94122-1419
Mailing Address1395 31st AveSan Francisco, CA 94122-1419 · (530) 212-0288
Phone(530) 212-0288
Sole ProprietorNo
Enumeration DateAugust 14, 2019
Last NPPES UpdateAugust 17, 20266 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1861048928 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 CA · 109696✔ Licensed in CA · 91313
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.
1395 31ST AVE, San Francisco, CA 94122
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Austin Dean Nystrom 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 Austin Nystrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
44 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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 94122 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 $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 3

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

CAROLYN MARIE JASCULCA M.A, M.P.A, MFTI
Marriage & Family Therapist
1395 31ST AVE
SAN FRANCISCO, CA 94122
San Francisco County (415) 840-5214
KYLIE DAYAN LCSW
Social Worker (Clinical)
1395 31ST AVE
SAN FRANCISCO, CA 94122
San Francisco County (415) 617-9425
REDWOOD PSYCHOLOGY & CONSULTATION
Psychologist (Counseling)
1395 31ST AVE
SAN FRANCISCO, CA 94122
San Francisco County (415) 295-2556

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 Austin Nystrom's NPI number?

The NPI number for Austin Nystrom is 1861048928. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Where is Austin Nystrom located?

Austin Nystrom practices at 1395 31st Ave, San Francisco, CA 94122. The listed phone number is (530) 212-0288.

What is Austin Nystrom's specialty?

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

Is Austin Nystrom enrolled in Medicare?

Yes. Austin Nystrom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Austin Nystrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Austin Nystrom reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). 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 Austin Nystrom'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 Austin Nystrom was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.