Shelley Kathleen Nelson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

29036 Issued in NE

Practice address

5625 S 62ND St Ste 100
Lincoln, NE 68516-3558

Phone

(402) 489-3834

NPI assigned

May 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Lincoln Pediatric Group LLC

  • Pediatrics Physician
  • Lincoln, NE
  • NPI 1083640130
  NPD
• Lincoln Pediatric Group LLC

  • Pediatrics Physician
  • Lincoln, NE
  • NPI 1508389610
  NPD

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

{
    "created_epoch": "1304208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1104117746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 S 62ND ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163558",
            "telephone_number": "402-489-3834",
            "fax_number": "402-489-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 S 62ND ST STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163558",
            "telephone_number": "402-489-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SHELLEY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-01",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "29036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Blane Nelson
• Samantha Nelson, PT, DPT
• Sarah J Nelson
• Seth Nelson
• Shadron Alexander Nelson
• Taedreanna Nelson
• Trevor Daniel Nels Nelson
• Tyler J Neltner, ATC
• Ethan Nemec
• Rouaa Nemeh

• Pediatrics Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Pediatrics Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.