MRS. SHANNON M NELSON LCPC
NPI 1528305174
Counselor - Mental Health in Rockford, IL

Active since January 15, 2013PECOS EnrolledAccepts Medicare Assignment
1639 N ALPINE RD STE ROCKFORD, ROCKFORD, IL 61107(815) 200-8277 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1528305174
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. SHANNON M NELSONCredential: LCPC
Location Address1639 N ALPINE RD STE ROCKFORDRockford, IL 61107-1449
Mailing Address2516 Highcrest RdRockford, IL 61107-1213
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 15, 2013
Last NPPES UpdateMarch 10, 2026
NPPES CertifiedMarch 10, 2026
NPI 1528305174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 180017209
1639 N ALPINE RD STE ROCKFORD, Rockford, IL 61107

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

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.

PECOS PAC ID244707883
PECOS Enrollment IDI20260430003104
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.

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.

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 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.