This water shrew occurs around the Himalayas. The Mammal Diversity Database (MDD) lists Bhutan, China, India, Myanmar, and Nepal in its country distribution. A 2022 molecular and morphological study supports treating it as a species distinct from N. elegans.
The 1909 Imperial Gazetteer describes Nectogale sikhimensis as having deep-brown fur flecked with glistening white and sucker-like pads on the soles of its feet.
The 1909 gazetteer says the two water-shrew species it describes live in streams and records Nectogale sikhimensis in Upper Sikkim. This is a historical account; it does not establish the species’ present-day habitat use or full range.
An extinction-risk assessment has not been added yet.