STEPHANIE SHAWN NELSEN (NP) – Acute Care Nurse Practitioner, NPI 1922573260
Acute Care Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for STEPHANIE SHAWN NELSEN (NP)
31 N Saint Joseph Ave
Niles, MI 491202207
Phone: (269) 985-4632
Type: Location
1234 Napier Ave
Saint Joseph, MI 490852112
Phone: (269) 985-4632
Type: Location
471 W SOUTH ST APT 108
KALAMAZOO, MI 490074663
Phone: (269) 329-8387
Type: Mailing
Bronson Methodist Hospital, 601, John Street, Kalamazoo, Kalamazoo County, Michigan, 49007, United States
KALAMAZOO, MI 490075341
Phone: (269) 341-6411
Fax: (269) 341-8294
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $219.
Total Amount is formed as General ($219) + Research ($0) + Ownership ($0) = $219.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($53).
Total Amount
$219
General + Research + Ownership
Payments
11
Total payment records
General Amount
$219
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-11-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181114000079 | I | Nurse Practitioner | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI |
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