Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHAWN M NELSON MD
NPI 1265163489
Anesthesiology in Providence, UT

Q: 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.

Q: What is Shawn Nelson's specialty?

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

Q: 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 59 days 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 June 20, 2022PECOS Enrolled

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: August 16, 2026.

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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 and is a graduate of Baylor College Of Medicine (2022).

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

Phone(435) 753-1600

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

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Other Identifiers 1

Medicaid1265163489UT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawn M Nelson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

CODY BRAD MICKELSEN MD

Anesthesiology