SHAWN NIELSEN PMHNP
NPI 1750193884
Nurse Practitioner - Psychiatric/Mental Health in Florence, AZ

Active since January 24, 2025Opted out of Medicare · through Apr 2, 2028
1155 N PINAL PKWY, FLORENCE, AZ 85132(520) 868-3668 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shawn Nielsen Pmhnp NPPES

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

SHAWN NIELSEN PMHNP (NPI 1750193884) is an individual psychiatric/mental health provider in Florence, Arizona, licensed in Arizona (319112) and active in the NPI registry since January 2025. He has opted out of Medicare through April 2, 2028.

NPPES Registry Identity

NPI1750193884
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSHAWN NIELSENCredential: PMHNP
Location Address1155 N PINAL PKWYFlorence, AZ 85132-8867
Mailing Address1155 N Pinal PkwyFlorence, AZ 85132-8867 · (520) 868-3668
Sole ProprietorYes
Enumeration DateJanuary 24, 2025
NPPES CertifiedJanuary 12, 2025
NPI 1750193884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in AZ · 319112
1155 N PINAL PKWY, Florence, AZ 85132

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Shawn Nielsen Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 2, 2026 through April 2, 2028.

Opt-Out Effective DateApril 2, 2026
Opt-Out In Effect ThroughApril 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

Physician Assistant
1155 N PINAL PKWY
FLORENCE, AZ 85132
Nurse Practitioner (Family)
1155 N PINAL PKWY
FLORENCE, AZ 85132
Nurse Practitioner (Psychiatric/Mental Health)
1155 N PINAL PKWY
FLORENCE, AZ 85132
Social Worker (Clinical)
1155 N PINAL PKWY
FLORENCE, AZ 85132
Nurse Practitioner (Family)
1155 N PINAL PKWY
FLORENCE, AZ 85132

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 Nielsen's NPI number?

The NPI number for Shawn Nielsen is 1750193884. It was assigned to this individual provider in the NPPES registry on January 24, 2025.

Where is Shawn Nielsen located?

Shawn Nielsen practices at 1155 N Pinal Pkwy, Florence, AZ 85132. The listed phone number is (520) 868-3668.

What is Shawn Nielsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shawn Nielsen enrolled in Medicare?

No. Shawn Nielsen has opted out of Medicare through April 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Shawn Nielsen was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.