Active NPI
Shawn Nielsen, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Florence, AZ
National Provider Identifier
1750193884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 319112
- Practice address
- 1155 N Pinal Pkwy
Florence, AZ 85132-8867 - Phone
- (520) 868-3668
- NPI assigned
- Jan 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 319112 | AZ | Primary |
Addresses
Primary practice location
1155 N Pinal Pkwy
Florence, AZ 85132-8867
Mailing address
1155 N Pinal Pkwy
Florence, AZ 85132-8867
Phone (520) 868-3668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 2, 2026 through Apr 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 319112 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1750193884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 N PINAL PKWY",
"city": "FLORENCE",
"state": "AZ",
"postal_code": "851328867",
"telephone_number": "520-868-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 N PINAL PKWY",
"city": "FLORENCE",
"state": "AZ",
"postal_code": "851328867",
"telephone_number": "520-868-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "SHAWN",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-24",
"last_updated": "2025-01-24",
"certification_date": "2025-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "319112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.