Nicole Wellendorf, LICSW - Medicare Clinical Social Worker in Granite Falls, MN

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Nicole Wellendorf, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Granite Falls, Minnesota. Her current practice location is 665 Highway 212 W Ste 7, Granite Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 979-7096.

Nicole Wellendorf is licensed to practice in Minnesota (license number 23047) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831559913.

Contact Information

Nicole Wellendorf, LICSW
665 Highway 212 W Ste 7,
Granite Falls, MN 56241-1371
(320) 979-7096
(507) 218-8492

Map and Direction




Healthcare Provider's Profile

Full NameNicole Wellendorf
GenderFemale
SpecialitySocial Worker - Clinical
Location665 Highway 212 W Ste 7, Granite Falls, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831559913
  • Provider Enumeration Date: 03/02/2016
  • Last Update Date: 03/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8123416047
  • Enrollment ID: I20211026003153

Medical Identifiers

Medical identifiers for Nicole Wellendorf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831559913NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 23047 (Minnesota)Primary

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. Nicole Wellendorf allows following entities to bill medicare on her behalf.
Entity NameCcm Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720086028
PECOS PAC ID: 4284539453
Enrollment ID: O20031201000642
Entity NameWestern Mental Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982613311
PECOS PAC ID: 7315856119
Enrollment ID: O20040226000053
Entity NameCcm Health
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1720086028
PECOS PAC ID: 4284539453
Enrollment ID: O20060504000810

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. Nicole Wellendorf 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 AddressPractice Location Address
Nicole Wellendorf, LICSW
140 5th Ave,
Granite Falls, MN 56241-1502

Ph: (320) 979-7096		Nicole Wellendorf, LICSW
665 Highway 212 W Ste 7,
Granite Falls, MN 56241-1371

Ph: (320) 979-7096

Reviews and Comments


Social Worker in Granite Falls, MN

Joann L. Steinbach, MSW, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 345 10th Ave., Granite Falls, MN 56241
Phone: 320-564-3111    
Susan Elaine Peterson-bones, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 818 Prentice St, Granite Falls, MN 56241
Phone: 320-564-2238    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.