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

Shannon M. Nelson, PA

Individual provider Physician Assistant · NPI 1326075078

Shannon M. Nelson, PA is a Physician Assistant in Mequon, Wisconsin. Qualified in 2002, 24 years ago. Practices with Madison Medical Affiliates Inc, a 86-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
24
Licensed in
WI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13133 N Port Washington Rd Ste 204
Mequon, WI 53097-2420
Phone: (262) 243-2524
Fax: (262) 243-2525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2350 N Lake Dr Ste 306, Milwaukee, WI 53211-4528 — (414) 298-7106

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1516 (WI)

Record details

NPI number1326075078
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Madison Medical Affiliates Inc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mequon