Individual provider Active NPI

Sharon A Nelson, NNP

  • Nurse Practitioner
  • Grafton, WI
National Provider Identifier
1073778502
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1882 Issued in WI
Practice address
975 Port Washington Rd
Grafton, WI 53024-9201
Phone
(262) 329-1000
NPI assigned
Jul 24, 2008
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1882 WI Primary
Neonatal Nurse Practitioner 363LN0000X 1882 WI
Neonatal Intensive Care Registered Nurse 163WN0002X 101618 WI

Addresses

Primary practice location

975 Port Washington Rd
Grafton, WI 53024-9201

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

725 American Ave 3rd Fl NICU
ProHealth Care Medical Associates Inc.
Waukesha, WI 53188-5031
Phone (262) 928-7276

Other identifiers 1

IdentifierTypeStateIssuer
100012859MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address snelson10896@direct.myadvocateaurora.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110221000913 WI Practitioner - Nurse Practitioner 7911188180 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1882WIMDPsychologist
101618WIMDNeonatal Intensive Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc Current Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Nov 1, 2010 Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Dec 19, 2020 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Nov 1, 2010 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Feb 1, 2024 Accepting new patients
Froedtert South, Inc. CurrentSince Feb 4, 2017 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Dec 19, 2020 Accepting new patients
Sacred Heart Rehabilitation Institute, Inc Past Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

975 Port Washington Rd
Grafton, WI 53024
Phone (262) 329-1000

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

6308 8th Ave
Ofc
Kenosha, WI 53143

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

9555 76th St
Ste 2601
Pleasant Prairie, WI 53158
Phone (262) 577-8400

2414 Kohler Memorial Dr
Sheboygan, WI 53081
Phone (920) 457-4461

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

725 American Ave
Fl 3
Waukesha, WI 53188
Phone (262) 928-2594

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

205 Valley Ave
West Bend, WI 53095
Phone (262) 338-1123

Interoperability endpoints

  • Direct secure messaging: snelson10896@direct.myadvocateaurora.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1073778502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 PORT WASHINGTON RD",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530249201",
            "telephone_number": "262-329-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 American Ave 3rd Fl NICU",
            "address_2": "ProHealth Care Medical Associates Inc.",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531885031",
            "country_code": "US",
            "telephone_number": "262-928-7276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SHARON",
        "middle_name": "A",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1882",
            "primary": true
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "WI",
            "license": "1882",
            "primary": false
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "WI",
            "license": "101618",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100012859",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "725 American Ave 3rd Fl NICU",
            "address_2": "ProHealth Care Medical Associates Inc.",
            "city": "Waukesha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531885031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snelson10896@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "725 American Ave 3rd Fl NICU",
            "address_2": "ProHealth Care Medical Associates Inc.",
            "city": "Waukesha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531885031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grafton, WI

Sources for this page

Verify at the official NPI Registry.