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

Individual provider Physician Assistant · NPI 1104811603

Shaun Nelson, PA is a Physician Assistant in Louisville, Kentucky. Qualified in 2018, 8 years ago. Practices with Baptist Health Medical Group Inc, a 2,445-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
8
Licensed in
KY
In the registry since
2005
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

120 Executive Park
Louisville, KY 40207-4201
Phone: (502) 855-7200
Fax: (502) 855-7201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 535 Wellington Way Ste 330, Lexington, KY 40503-1331 — (859) 439-0400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA842 (KY)

Record details

NPI number1104811603
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 12, 2005
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Baptist Health Medical Group Inc — 2445 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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