SHARON A NELSON NNP
NPI 1073778502
Nurse Practitioner in Grafton, WI

Active since July 24, 2008PECOS Enrolled
975 PORT WASHINGTON RD, GRAFTON, WI 53024(262) 329-1000 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 1, 2024, Dec 15, 2021, Jan 19, 2021 and 1 more (4 updates tracked since 2017).

About Sharon A Nelson Nnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHARON A NELSON NNP (NPI 1073778502) is an individual nurse practitioner in Grafton, Wisconsin, licensed in Wisconsin (1882) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Waukesha.

NPPES Registry Identity

NPI1073778502
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHARON A NELSONCredential: NNP
Location Address975 PORT WASHINGTON RDGrafton, WI 53024-9201
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Enumeration DateJuly 24, 2008
Last NPPES UpdateMay 1, 20244 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
✔ NPI 1073778502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 1882
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Neonatal Intensive CareTaxonomy 163WN0002X · License 101618 (WI)
Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License 1882 (WI)
975 PORT WASHINGTON RD, Grafton, WI 53024

Secondary Practice Location 1

Location 1725 American Ave 3rd Fl NICU, ProHealth Care Medical Associates Inc.Waukesha, WI 53188-5031 · Phone (262) 928-7276

Other Identifiers 1

Medicaid100012859WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sharon A Nelson Nnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Sharon Nelson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
13111 N PORT WASHINGTON RD
Mequon, WI 53097
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
Family Medicine
6308 8TH AVE
Kenosha, WI 53143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 212 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Nurse Practitioner (Acute Care)
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Pharmacist
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Physician Assistant
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Radiology (Diagnostic Radiology)
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Internal Medicine (Interventional Cardiology)
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Nurse Practitioner
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Hospitalist
975 PORT WASHINGTON RD
GRAFTON, WI 53024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sharon Nelson's NPI number?

The NPI number for Sharon Nelson is 1073778502. It was assigned to this individual provider in the NPPES registry on July 24, 2008.

Where is Sharon Nelson located?

Sharon Nelson practices at 975 Port Washington Rd, Grafton, WI 53024. The listed phone number is (262) 329-1000.

What is Sharon Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sharon Nelson enrolled in Medicare?

Yes. Sharon Nelson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sharon Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharon Nelson reassigns Medicare benefits to 4 organizations: Columbia St. Mary's Hospital Milwaukee, Inc (Mequon, WI), Aurora Advanced Healthcare, Inc. (Milwaukee, WI), Aurora Medical Group, Inc. (West Allis, WI) and Froedtert South, Inc. (Kenosha, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sharon Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sharon Nelson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Sharon Nelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sharon Nelson was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.