SHELLY ANNE NIELSEN M.A.
NPI 1740475896
Student in an Organized Health Care Education/Training Program in San Francisco, CA
About Shelly Anne Nielsen M.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELLY ANNE NIELSEN M.A. (NPI 1740475896) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shelly Anne Nielsen M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shelly Nielsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94116
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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.
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
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 Shelly Nielsen's NPI number?
The NPI number for Shelly Nielsen is 1740475896. It was assigned to this individual provider in the NPPES registry on September 12, 2007.
Where is Shelly Nielsen located?
Shelly Nielsen practices at 1001 Portrero Ave, San Francisco, CA 94110. The listed phone number is (415) 206-5270.
What is Shelly Nielsen's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Shelly Nielsen enrolled in Medicare?
Yes. Shelly Nielsen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shelly Nielsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Nielsen reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). 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 Shelly Nielsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shelly Nielsen was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shelly Anne Nielsen, M.A. · NPI 1740475896
Student in an Organized Health Care Education/Training Program provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since September 12, 2007.
## Identity
- **NPI:** 1740475896 (Entity type: Individual)
- **Enumerated:** September 12, 2007
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 PORTRERO AVE, San Francisco, CA 94110-3518
- **Phone:** (415) 206-5270
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1841373800, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1740475896) · Data from the CMS NPPES public registry.