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SHAWN KEITH NELSON MD
NPI 1346233020
Psychiatry & Neurology - Neurology in Bristol, TN

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
3183 W STATE ST, SUITE 1201, BRISTOL, TN 37620(423) 764-0987(423) 652-2512 Get Directions Write a Review

NPPES record last updated: July 20, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shawn Keith Nelson Md NPPES

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

SHAWN KEITH NELSON MD (NPI 1346233020) is an individual neurology provider in Bristol, Tennessee, licensed in Tennessee (34012) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and is a graduate of Medical College Of Wisconsin (1996).

NPPES Registry Identity

NPI1346233020
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameSHAWN KEITH NELSONCredential: MD
Location Address3183 W STATE ST, SUITE 1201Bristol, TN 37620-1712
Mailing Address3183 W State St, Suite 1201Bristol, TN 37620-1712 · (423) 764-0987 · Fax (423) 652-2512
Phone(423) 764-0987
Fax(423) 652-2512
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1996
Enumeration DateAugust 26, 2005
Last NPPES UpdateJuly 20, 2012
✔ NPI 1346233020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TN · 34012
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3183 W STATE ST, Bristol, TN 37620
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Other Identifiers 13

Medicaid3854328TN
Medicaid010365040VA
Medicaid3152685TN
Medicare PIN3384233TN
Medicare PINP00405025TN
Medicare PINC04525VA
Medicare UPINH12957TN
Medicare PIN130021946GA
Medicare PIN3854328TN
Medicare PINC04526VA
Medicare PIN103I132848TN
Medicare PIN130000749VA
Medicaid007101147VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, UnitedHealthcare.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 Keith 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 ID8729031174
PECOS Enrollment IDI20061201000141
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.

Wellmont Medical Associates Inc
1.0 mi
Pulmonary Disease
350 BLOUNTVILLE HWY STE 106
Bristol, TN 37620
  • Reassigned Medicare billing, Tennessee and Virginia enrollments
  • Also billed through NPI 1295193183 (Virginia)
  • 861 clinicians in this Medicare group
NPI 1780986257 (423) 968-2446

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

Areas of Expertise CMS Part B claims 6

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.
313 services186 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
74 services73 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.
45 services44 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.
37 services37 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
15 services15 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
14 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440176
Location2000 Brookside DrKingsport, TN 37660 · Sullivan County
Emergency services Birthing friendly

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier15 claims15 services$11.27 avg. paid by Medicare
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds K0825
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$205.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

MS. CLAUDIA F CORRADINO MS APN BC
Nurse Practitioner (Family)
3183 W STATE ST, SUITE 1201
BRISTOL, TN 37620
Sullivan County (423) 764-0987
MOUNTAIN EMPIRE NEUROLOGICAL ASSOCIATES PC
Specialist
3183 W STATE ST, SUITE 1201
BRISTOL, TN 37620
Sullivan County (423) 761-0987
SOUTHEASTERN PAIN MANAGEMENT CENTER, PLLC
Anesthesiology (Pain Medicine)
3183 W STATE ST, SUITE 1101
BRISTOL, TN 37620
Sullivan County (423) 968-2772
DENNIS M AGUIRRE MD
Pain Medicine (Interventional Pain Medicine)
3183 W STATE ST, SUITE1101
BRISTOL, TN 37620
Sullivan County (423) 968-2772
DR. WILLIAM JOHN SCHERMER M.D.
Dermatology
3183 W STATE ST, SUITE 1102
BRISTOL, TN 37620
Sullivan County (423) 764-7131
DOUGLAS PAUL WILLIAMS MD
Psychiatry & Neurology (Neurology)
3183 W STATE ST, SUITE 1201
BRISTOL, TN 37620
Sullivan County (423) 764-1987
MICHELLE L PAINTER NP
Nurse Practitioner (Family)
3183 W STATE ST, SUITE 1101
BRISTOL, TN 37620
Sullivan County (423) 968-2772
EARL KEITH WILSON MD
Psychiatry & Neurology (Neurology)
3183 W STATE ST, SUITE 1201
BRISTOL, TN 37620
Sullivan County (423) 764-0987

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 1346233020. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Shawn Nelson located?

Shawn Nelson practices at 3183 W State St Suite 1201, Bristol, TN 37620. The listed phone number is (423) 764-0987.

What is Shawn Nelson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

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 Wellmont Medical Associates Inc (Bristol, TN). 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 BlueCross BlueShield of Tennessee, Cigna Healthcare and UnitedHealthcare 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 Wellmont Bristol Regional Medical Center, Wellmont Holston Valley Medical Center, Johnson City Medical Center, Indian Path Community Hospital and Johnston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shawn Nelson was last updated on July 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.