SHAUN NELSON PA
NPI 1104811603
Physician Assistant in Louisville, KY

Q: What is Shaun Nelson's NPI number?

The NPI number for Shaun Nelson is 1104811603. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Q: What is Shaun Nelson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shaun Nelson was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

120 EXECUTIVE PARK, LOUISVILLE, KY 40207(502) 855-7200(502) 855-7201 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2022, Aug 23, 2021, Jan 12, 2021 and 1 more (4 updates tracked since 2018).

On this page

About Shaun Nelson Pa NPPES

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

SHAUN NELSON PA (NPI 1104811603) is an individual physician assistant in Louisville, Kentucky, licensed in Kentucky (PA842) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1104811603

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHAUN NELSONCredential: PA

Location Address120 EXECUTIVE PARKLouisville, KY 40207-4201

Mailing Address223 Executive ParkLouisville, KY 40207-4202 · (502) 907-0356 · Fax (502) 919-9780

Phone(502) 855-7200

Fax(502) 855-7201

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 12, 2005

Last NPPES UpdateApril 14, 20224 updates tracked since enumeration

NPPES CertifiedApril 14, 2022

✔ NPI 1104811603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in KY · PA842

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

120 EXECUTIVE PARK, Louisville, KY 40207

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Secondary Practice Location 1

Location 1535 Wellington Way Ste 330Lexington, KY 40503-1331 · Phone (859) 439-0400

Other Identifiers 6

Other2268718KY · Wellcare Of Ky Provider Id Number

Other000001408313Anthem Provider Id Number

OtherCS2026900168Caresource Provider Id Number

Medicaid95004735KY

Medicaid300040820IN

Other100508KYIPKY · Aetna Better Health Of Ky Provider Id Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shaun Nelson Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315918679

PECOS Enrollment IDI20040802001256

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

937 services311 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

97 services97 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

95 services75 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

66 services62 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

61 services50 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180130

Location4000 Kresge WayLouisville, KY 40207 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 17

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

BLAKE EVANS MD

Anesthesiology