NPPES file of Aug 9, 2026

Shannon M. Nelson, P.A.

Physician Assistant · Mequon, WI

Shannon M. Nelson, P.A. is a physician assistant with a practice address in Mequon, Wisconsin, and NPI 1326075078, issued on Jun 27, 2006. Check the license (Wisconsin 1516, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1326075078
Name
Shannon M. Nelson
Credential
P.A.
Primary taxonomy
Physician Assistant 363A00000X
License number
1516 WI
Self-reported in NPPES; status is on the state search
Practice location
13133 N Port Washington RD Ste 204, Mequon, WI 53097
Phone
(262) 243-2524
Enumerated
Jun 27, 2006
Record last updated
Feb 24, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(262) 243-2525
Medicaid ID
1326075078 WI
Medicare enrollment
Enrolled (PECOS I20040214000086); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 13133 N Port Washington RD Ste 204

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kelly Bublitz, APNPNurse Practitioner1053136481
  2. Heather Vartanian, APNPAdult Health Nurse Practitioner1457504896

Verify Shannon M. Nelson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
    Search for license 1516
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Wisconsin license search

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97% fewer Medicare Part D claims than the average physician assistant in 2024

25 Medicare Part D claims for 12 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.

  1. Shannon Nelson25
  2. Specialty average830

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 81.5 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score88.4
  2. Costout of 100 · 30%49.9
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $318.01

10 payments; by number, the most common kind was food and beverage; the largest payer was Urogen Pharma, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Shannon Nelson$318.01
  2. Specialty average$841.65

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Madison Medical Affiliates IncMilwaukee, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

35 physician assistant records list a practice address in Mequon

They are 35 of the 1,048 NPPES records with a practice address in Mequon, and 3,475 physician assistant records in Wisconsin.

Other physician assistant records in Wisconsin

  1. Amber Abraham, PA-CGreen Bay, WI1598993297
  2. Roopa AchuriNeenah, WI1225531635
  3. Carleen Acker, PA-CMadison, WI1447514773
  4. Lauren Ackerman, PA-CCudahy, WI1992357982
  5. Jocelyn Acompanado, PA-CSheboygan, WI1770521486
  6. Kora Adam, PA-CBurlington, WI1952666554
  7. Stephanie Adamczyk, PAMilwaukee, WI1063007441
  8. Kristen Adamo, PANew Berlin, WI1437179520
  9. Beth Adams, PA-CMequon, WI1801237540
  10. Eric Adams, PAGreen Bay, WI1528445087

Common questions

What is Shannon M. Nelson, P.A.'s NPI number?

Shannon M. Nelson, P.A.'s National Provider Identifier (NPI) is 1326075078, issued on Jun 27, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Shannon M. Nelson, P.A. located?

The NPPES record lists a practice address at 13133 N Port Washington RD Ste 204, Mequon, WI, 53097. Phone: (262) 243-2524. Providers update this record themselves, so call before visiting.

How can I verify Shannon M. Nelson, P.A.'s license?

NPPES lists Wisconsin license number 1516, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.

How much does Shannon M. Nelson, P.A. prescribe under Medicare Part D?

In 2024, Shannon M. Nelson, P.A. had 25 Medicare Part D claims for 12 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

What is Shannon M. Nelson, P.A.'s MIPS final score?

The 2023 MIPS final score is 81.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.