MRS. SHANNON M NELSON LCPC
NPI 1528305174
Counselor - Mental Health in Rockford, IL
About Mrs. Shannon M Nelson Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHANNON M NELSON LCPC (NPI 1528305174) is an individual mental health provider in Rockford, Illinois, licensed in Illinois (180017209) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Shannon M Nelson Lcpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Shannon Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockford, IL 61107
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Rockford Psychiatric Medical Services Sc
- 163 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.
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 Shannon Nelson's NPI number?
The NPI number for Shannon Nelson is 1528305174. It was assigned to this individual provider in the NPPES registry on January 15, 2013.
Where is Shannon Nelson located?
Shannon Nelson practices at 1639 N Alpine Rd Ste Rockford, Rockford, IL 61107. The listed phone number is (815) 200-8277.
What is Shannon Nelson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Shannon Nelson enrolled in Medicare?
Yes. Shannon 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 Shannon Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Nelson reassigns Medicare benefits to Rockford Psychiatric Medical Services, S.C. (Rockford, IL). 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 Shannon Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Nelson accept?
Health plans from MercyCare, MercyCare Health Plans, Oscar Health, Quartz and UnitedHealthcare list Shannon 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.
When was this NPI record last updated?
The NPPES record for Shannon Nelson was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Shannon M Nelson, LCPC · NPI 1528305174
Mental Health provider in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since January 15, 2013.
## Identity
- **NPI:** 1528305174 (Entity type: Individual)
- **Enumerated:** January 15, 2013
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 180017209 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1639 N ALPINE RD STE ROCKFORD, Rockford, IL 61107-1449
- **Phone:** (815) 200-8277
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Rockford Psychiatric Medical Services, S.C. (NPI 1821391442, Rockford, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** March 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1528305174) · Data from the CMS NPPES public registry.