DR. SHELLEY L NIELSON MD NPI 1639145550

NPI Information

NPI: 1639145550
Provider Name: DR. SHELLEY L NIELSON, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
100 MAC LANE
AVERA MEDICAL GROUP PIERRE
PIERRE, SD
ZIP 57501
Phone: (605) 945-5201
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DR. Shelley L Nielson, MD is an obstetrics gynecology in Pierre, SD. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Shelley L Nielson, MD NPI is 1639145550. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 MAC LANE
AVERA MEDICAL GROUP PIERRE
PIERRE, SD
ZIP 57501
Phone: (605) 945-5201
Fax: (605) 945-5094

The enumeration date for this NPI number is 2/28/2006 and was last updated on 4/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		4843	SOUTH DAKOTA	No
2	207V00000X	Obstetrics & Gynecology		SD4843	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	6200902	MEDICAID	SOUTH DAKOTA
2	103038	MEDICARE PIN	SOUTH DAKOTA
3	6200900	MEDICARE ID-TYPE UNSPECIFIED	SOUTH DAKOTA
4	7808	MEDICARE ID-TYPE UNSPECIFIED	SOUTH DAKOTA
5	F79737	MEDICARE UPIN	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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