SHANNON M. NELSON P.A.
NPI 1326075078
Physician Assistant in Mequon, WI

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
81.48/100
CMS Quality Rating
13133 N PORT WASHINGTON RD STE 204, MEQUON, WI 53097(262) 243-2524(262) 243-2525 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 24, 2021, Nov 9, 2016 (2 updates tracked since 2016).

About Shannon M. Nelson P.a. NPPES

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

SHANNON M. NELSON P.A. (NPI 1326075078) is an individual physician assistant in Mequon, Wisconsin, licensed in Wisconsin (1516) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1326075078
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON M. NELSONCredential: P.A.
Location Address13133 N PORT WASHINGTON RD STE 204Mequon, WI 53097-2420
Mailing Address788 N Jefferson St, Suite 300/kaaren ButzenMilwaukee, WI 53202-3718 · (414) 272-8950 · Fax (414) 272-0859
Fax(262) 243-2525
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 27, 2006
Last NPPES UpdateFebruary 24, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2021
NPI 1326075078 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 WI · 1516
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.

13133 N PORT WASHINGTON RD STE 204, Mequon, WI 53097

Other Names 1

Former Name (1)Shannon M. Lang

Secondary Practice Location 1

Location 12350 N Lake Dr Ste 306Milwaukee, WI 53211-4528 · Phone (414) 298-7106 · Fax (414) 298-7195

Other Identifiers 1

Medicaid1326075078WI

Accepted 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

Shannon M. Nelson P.a. 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 ID4587558044
PECOS Enrollment IDI20040214000086
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 2024 & 2026 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 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.
280 services240 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
43 services43 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
41 services41 patients
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.
16 services15 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53097 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

81.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.39
Promoting Interoperability100
Improvement Activities40
Cost49.87

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Adult Health)
13133 N PORT WASHINGTON RD STE 204
MEQUON, WI 53097
Nurse Practitioner
13133 N PORT WASHINGTON RD STE 204
MEQUON, WI 53097

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326075078, enumerated as an "individual" on June 27, 2006.

The provider is located at 13133 N PORT WASHINGTON RD STE 204 MEQUON, WI 53097 and the phone number is (262) 243-2524.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Network Health,. Please consult your insurance carrier or call the provider to verify.

Shannon Nelson is affiliated with: ASCENSION COLUMBIA ST MARY'S HOSPITAL MILWAUKEE, ASCENSION ST FRANCIS HOSPITAL and ASCENSION SE WISCONSIN HOSPITAL.