SIANNA HOLLY NELSON – Marriage & Family Therapist, NPI 1336860170

SIANNA HOLLY NELSON is a healthcare provider. based in Wichita, Kansas. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 03424-T (KS). The NPI Number for SIANNA HOLLY NELSON is 1336860170

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
SIANNA HOLLY NELSON
NPI
1336860170
Phone
(316) 390-0503
Address
1722 N SKYVIEW ST
Enumeration Date
9 September 2022
Last Update Date
9 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3162016047
Graduation Year
2022 (4 years ago)
PAC ID
8527566140
Group Practice PAC ID
7810387339
Professional Enrollment ID
I20250812002812
Address ID
KS672033939WI825XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

163 MARRIAGE AND FAMILY THERAPIST in KS

Provider Addresses for SIANNA HOLLY NELSON

  • 1722 N SKYVIEW ST

    WICHITA, KS 672121143

    Phone: (316) 390-0503

    Type: Mailing

  • 825 N WACO AVE STE 200

    WICHITA, KS 672033939

    Phone: (316) 201-6047

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250812002812IMarriage And Family TherapistKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67212)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810387339View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerKS
Nurse PractitionerKS
Clinical Social WorkerKS
Clinical Social WorkerKS
Nurse PractitionerKS
Clinical Social WorkerKS
Nurse PractitionerKS
Nurse PractitionerMO
Clinical Social WorkerKS

Reviews

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Frequently asked questions

Is there an official ID for SIANNA HOLLY NELSON in U.S. healthcare records?
The official identifier for SIANNA HOLLY NELSON is NPI 1336860170.
Would SIANNA HOLLY NELSON appear as active to a payer?
You can treat SIANNA HOLLY NELSON as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is SIANNA HOLLY NELSON?
SIANNA HOLLY NELSON is associated with Marriage & Family Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is SIANNA HOLLY NELSON associated with Wichita?
Public fields place SIANNA HOLLY NELSON around Wichita, Kansas. Always confirm the exact site before visiting.
Can I trust this NPI listing for SIANNA HOLLY NELSON?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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