Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Shaun Nelson, PA

Q: What is the NPI number for Shaun Nelson?

The National Provider Identifier (NPI) for Shaun Nelson is 1104811603, a Type 1 (individual) record in the CMS NPPES registry.

Physician Assistant in Louisville, KY · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104811603

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Registry record

Entity type Individual (Type 1)

Name Shaun Nelson

Credential PA

Sex Female

Practice address 120 Executive Park, Louisville, KY, 40207

Phone (502) 855-7200

Fax (502) 855-7201

Enumeration date Sep 12, 2005

Last updated in NPPES Apr 14, 2022

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA842 (KY) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier	Type	State	Issuer
300040820	Medicaid	IN	-
95004735	Medicaid	KY	-
100508KYIP	Other	KY	AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
2268718	Other	KY	WELLCARE OF KY PROVIDER ID NUMBER
000001408313	Other	-	ANTHEM PROVIDER ID NUMBER
CS2026900168	Other	-	CARESOURCE PROVIDER ID NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Shaun Nelson practice?

The practice location on file with NPPES is in Louisville, KY. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Shaun Nelson?

The National Provider Identifier (NPI) for Shaun Nelson is 1104811603, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-04-14.