SHAWN C. NESSEN (DO) – Surgical Critical Care Physician, NPI 1790742997

SHAWN C. NESSEN (DO) is a healthcare provider. based in Tyler, Texas. specializing in GENERAL SURGERY. They hold the professional credentials DO. They hold a License No. S7106 (TX). The NPI Number for SHAWN C. NESSEN (DO) is 1790742997

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN C. NESSEN (DO)
NPI
1790742997
Phone
(903) 606-5864
Address
800 E DAWSON ST
Enumeration Date
1 May 2006
Last Update Date
20 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2106539307
Graduation Year
1995 (31 years ago)
PAC ID
7719176429
Group Practice PAC ID
8022171974
Professional Enrollment ID
I20201119000186
Address ID
TX782334101LI12500RDXX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,644 GENERAL SURGERY in TX

Provider Addresses for SHAWN C. NESSEN (DO)

  • 800 E DAWSON ST

    TYLER, TX 757012036

    Phone: (903) 606-5864

    Fax: (903) 606-1930

    Type: Location

  • 2040 W Charleston Blvd

    Suite 302

    Las Vegas, NV 891022227

    Phone: (910) 425-9710

    Type: Location

  • 800 E Dawson St

    Tyler, TX 757012036

    Phone: (903) 606-5864

    Fax: (903) 606-1930

    Type: Location

  • 12709 TOEPPERWEIN RD STE 302

    LIVE OAK, TX 782333260

    Phone: (210) 653-9307

    Fax: (210) 653-7014

    Type: Location

  • West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89104-1307, United States

    #215

    LAS VEGAS, NV 891022325

    Phone: (702) 671-2395

    Fax: (702) 382-5388

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-11-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201119000186IGeneral SurgeryTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7030$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1611$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 75701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022171974View full group profile
NameSpecialtyState
P O D I A T R YTX
Certified Clinical Nurse Specialist (Cns)TX
-TX
General SurgeryTX
Pediatric Medicine, Cardiovascular Disease (Cardiology)TX
Medical Oncology, Hematology, Internal MedicineTX
Internal MedicineTX
Nurse PractitionerTX
Urology, General Surgery, UrologyTX
General SurgeryTX

Reviews

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Frequently asked questions

Is there an official ID for SHAWN C. NESSEN (DO) in U.S. healthcare records?
The official identifier for SHAWN C. NESSEN (DO) is NPI 1790742997.
Is SHAWN C. NESSEN (DO) still an active registrant?
SHAWN C. NESSEN (DO) carries an active NPI according to the public dataset.
What expertise is attributed to SHAWN C. NESSEN (DO)?
SHAWN C. NESSEN (DO)'s specialty line reads Surgical Critical Care Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is SHAWN C. NESSEN (DO) registered?
Use Tyler, Texas as the headline location for SHAWN C. NESSEN (DO) here.
When was this NPI issued?
Enumeration for SHAWN C. NESSEN (DO) is noted as May 1, 2006 where the registry provides it.

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