Active NPI
Shawn C. Nessen, DO
- Surgical Critical Care Physician
- Live Oak, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- S7106
- Practice address
- 12709 Toepperwein Rd Ste 302
Live Oak, TX 78233-3260 - Phone
- (210) 653-9307
- Fax
- (210) 653-7014
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | S7106 | TX | |
| Trauma Surgery Physician | 2086S0127X | S7106 | TX | |
| Surgical Critical Care Physician | 2086S0102X | S7106 | TX | Primary |
Addresses
Primary practice location
12709 Toepperwein Rd Ste 302
Live Oak, TX 78233-3260
Mailing address
1701 W Charleston Blvd
#215
Las Vegas, NV 89102-2325
Phone (702) 671-2395
Other practice location 1
2040 W Charleston Blvd
Suite 302
Las Vegas, NV 89102-2227
Phone (910) 425-9710
Other practice location 2
800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-5864
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P02587370 | Other | TX | MCRR |
| 417623201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201119000186 | TX | Practitioner - General Surgery | 7719176429 |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2000 Health Park Dr
Brentwood, TN 37027-4692
Hospital & facility affiliations
- Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.46 of 100
- Quality
- 71.92
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.86
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S7106 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Physician Practices, PLLC | Surgery | Current | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
12500 Judson Rd
Ste 220
Live Oak, TX 78233
Phone (210) 653-9307
12709 Toepperwein Rd
Ste 302
Live Oak, TX 78233
Phone (210) 653-9307
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195
Interoperability endpoints
- snessen237612@christushealth.direct-ci.net
- https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Surgery Physician
- San Antonio, TX
- NPI 1922252717
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1790742997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 W CHARLESTON BLVD",
"address_2": "#215",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022325",
"telephone_number": "702-671-2395",
"fax_number": "702-382-5388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12709 TOEPPERWEIN RD STE 302",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782333260",
"telephone_number": "210-653-9307",
"fax_number": "210-653-7014"
}
],
"practiceLocations": [
{
"address_1": "2040 W Charleston Blvd",
"address_2": "Suite 302",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891022227",
"country_code": "US",
"telephone_number": "910-425-9710",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 E Dawson St",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012036",
"country_code": "US",
"telephone_number": "903-606-5864",
"fax_number": "903-606-1930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NESSEN",
"first_name": "SHAWN",
"middle_name": "C.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "S7106",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "TX",
"license": "S7106",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "TX",
"license": "S7106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCRR",
"identifier": "P02587370",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417623201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Live Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.