DIANE LYNN BIERKE-NELSON, C.G.C. — NPI 1386633980 (Licensed & Credentialed Genetic Counselor, MS in DULUTH, MN)

CMS-1500 Box 24J / 33a • NPI

1386633980

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

170300000X

Licensed & Credentialed Genetic Counselor, MS

Box 32 Service Location & ZIP+4

420 E 1ST ST # 1S3W10, DULUTH CLINIC, DULUTH, MN, 55805-1901

✓ 9-Digit EDI 837 ZIP+4 (55805-1901)

Practice Phone & Referral Fax

(218) 786-3012

Fax: (218) 786-3274

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1386633980 (DIANE LYNN BIERKE-NELSON, C.G.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1386633980` (NPI-1 Individual Practitioner)
Provider / Legal Name	DIANE LYNN BIERKE-NELSON, C.G.C.
Plain-English Specialty	Licensed & Credentialed Genetic Counselor, MS NUCC Code: `170300000X` (Genetic Counselor, MS)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	420 E 1ST ST # 1S3W10, DULUTH CLINIC, DULUTH, MN, 55805-1901
Practice Telephone / Fax	Tel: (218) 786-3012 \| Fax: (218) 786-3274
Administrative Mailing Address	106 N 21ST ST E, SUPERIOR, WI, 54880-6546
Enumeration & Last Sync	Enumerated: 2005-10-17 \| CMS Record Updated: 2011-01-18

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

420 E 1ST ST # 1S3W10, DULUTH CLINIC, DULUTH, MN, 55805-1901

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Plain-English Taxonomy & CMS Crosswalk (170300000X)

What Does Taxonomy Code 170300000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 170300000X translates to:
"Licensed & Credentialed Genetic Counselor, MS"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Genetic Counselor, MS for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DIANE LYNN BIERKE-NELSON, C.G.C.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`170300000X` — Genetic Counselor, MS Plain English: Licensed & Credentialed Genetic Counselor, MS	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DIANE LYNN BIERKE-NELSON, C.G.C. (NPI #1386633980)