SHAWN M NELSON MD
NPI 1265163489
Anesthesiology in Providence, UT

Active since June 20, 2022PECOS EnrolledAccepts Medicare Assignment
560 W 465 N STE 604, PROVIDENCE, UT 84332(435) 753-1600(435) 753-9521 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shawn M Nelson Md NPPES

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

SHAWN M NELSON MD (NPI 1265163489) is an individual anesthesiology provider in Providence, Utah, licensed in Utah (14229960-1205) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Logan Regional Hospital, and maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1265163489
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameSHAWN M NELSONCredential: MD
Location Address560 W 465 N STE 604Providence, UT 84332-8006
Mailing Address560 W 465 N Ste 604Providence, UT 84332-8006 · (435) 753-1600 · Fax (435) 753-9521
Fax(435) 753-9521
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2022
Enumeration DateJune 20, 2022
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1265163489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in UT · 14229960-1205
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
560 W 465 N STE 604, Providence, UT 84332

Secondary Practice Location 1

Location 1984455 Nebraska Medical CtrOmaha, NE 68198-4455 · Phone (402) 559-7353

Other Identifiers 1

Medicaid1265163489UT

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shawn M Nelson Md 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 ID4688050297
PECOS Enrollment IDI20260609003749
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 Reassignment

Medicare enrollment records show Shawn Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
560 W 465 N STE 604
Providence, UT 84332
  • Reassigned Medicare billing, Utah enrollment
  • 29 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.

Hospital Affiliations CMS Care Compare

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

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

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.

Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Nurse Anesthetist, Certified Registered
560 W 465 N STE 604
PROVIDENCE, UT 84332

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 Shawn Nelson's NPI number?

The NPI number for Shawn Nelson is 1265163489. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Shawn Nelson located?

Shawn Nelson practices at 560 W 465 N Ste 604, Providence, UT 84332. The listed phone number is (435) 753-1600.

What is Shawn Nelson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Shawn Nelson enrolled in Medicare?

Yes. Shawn Nelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shawn Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Nelson reassigns Medicare benefits to Interwest Anesthesia Associates LLC (Providence, UT). The 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 Shawn Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawn Nelson accept?

Health plans from Select Health list Shawn 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.

Is Shawn Nelson affiliated with any hospitals?

According to CMS data, Shawn Nelson is affiliated with Logan Regional Hospital.

When was this NPI record last updated?

The NPPES record for Shawn Nelson was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.