Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mason Nelson

Individual provider Physician Assistant · NPI 1275233728

Mason Nelson is a Physician Assistant in Oconomowoc, Wisconsin. Qualified in 2023, 3 years ago. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
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Practice location Address checks out

1417 Altis Dr Unit 207
Oconomowoc, WI 53066-1293
Phone: (218) 530-0035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7511 (WI)

Record details

NPI number1275233728
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 3, 2023
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address1417 Altis Dr Unit 207, Oconomowoc, WI 53066-1293

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Oconomowoc