Shannon Nelson, P.A.
NPI 1326075078 · Physician Assistant · Mequon, WI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Nelson, P.A. is a Physician Assistant provider in Mequon, WI (NPI 1326075078).
Provider details
- NPI number
- 1326075078
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- License
- 1516 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
392 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 280 | $72 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 43 | $88 |
| Ultrasound Measurement of Bladder Capacity After Voiding51798 | 41 | $10 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 16 | $102 |
| Manual Urinalysis Test With Examination Using Microscope, Automated81001 | 12 | $3 |
Typical Medicare-allowed amounts for these services range $3–$102 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$318 across 10 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 2350 N Lake Dr Ste 306Milwaukee, WI 53211-4528Phone: (414) 298-7106Fax: (414) 298-7195
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2021-02-24
- Certified
- 2021-02-24
Frequently asked questions
- What is Shannon Nelson's NPI number?
- Shannon Nelson's National Provider Identifier (NPI) is 1326075078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Nelson's specialty?
- Shannon Nelson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shannon Nelson located?
- Shannon Nelson's practice location on file with NPPES is 13133 N Port Washington Rd Ste 204, Mequon, WI 53097-2420.
- What is Shannon Nelson's phone number?
- The practice phone number listed in the NPPES registry for Shannon Nelson is (262) 243-2524.
- Does Shannon Nelson accept Medicare?
- Shannon Nelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Nelson's NPI active?
- Yes — Shannon Nelson's NPI (1326075078) is active in the NPPES registry as of the last update on 2021-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.