Ms Kathleen Anne Nielsen, APRN BC is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Lafayette, New Jersey. She graduated from nursing school in 1985 and has 39 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Fremont Counseling Service and her current practice location is
15 State Route 15, Lafayette, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 579-6700.
Ms Kathleen Anne Nielsen is licensed to practice in New Jersey (license number 26NC05144300) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700970837.
Provider's Profile
| Full Name | Ms Kathleen Anne Nielsen |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 39 Years |
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| Location | 15 State Route 15, Lafayette, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Kathleen Anne Nielsen graduated from nursing school in 1985
NPI Data:
- NPI Number: 1700970837
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5799712907
- Enrollment ID: I20211117001943
Medical Identifiers
Medical identifiers for Ms Kathleen Anne Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700970837 | NPI | - | NPPES |
| 8483400 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 26NC05144300 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fremont Counseling Service | 3476535105 | 5 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kathleen Anne Nielsen allows following entities to bill medicare on her behalf.
| Entity Name | Fremont Counseling Service |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003812694
PECOS PAC ID: 3476535105
Enrollment ID: O20040604000878 |
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| Entity Name | Positive Progressions, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477716470
PECOS PAC ID: 8820356520
Enrollment ID: O20180102001361 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kathleen Anne Nielsen is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ms Kathleen Anne Nielsen, APRN BC
15 State Route 15,
Lafayette, NJ 07848-2007
Ph: (973) 579-6700 | Ms Kathleen Anne Nielsen, APRN BC
15 State Route 15,
Lafayette, NJ 07848-2007
Ph: (973) 579-6700 |
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