DR. SHANNON MENTOCK (MD) – Family Medicine Physician, NPI 1104353796

DR. SHANNON MENTOCK (MD) is a healthcare provider. based in Westminster, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. DR.0063003 (CO). The NPI Number for DR. SHANNON MENTOCK (MD) is 1104353796

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANNON MENTOCK (MD)
NPI
1104353796
Phone
(303) 430-5560
Address
14300 ORCHARD PKWY
Enumeration Date
15 May 2017
Last Update Date
21 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
8426327065
Group Practice PAC ID
9133180375
Professional Enrollment ID
I20200827000829
Address ID
CA949546559Pe1179XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

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Provider Addresses for DR. SHANNON MENTOCK (MD)

  • Saint Anthony North Health Campus, 14300, Orchard Parkway, Westminster, Adams County, Colorado, 80023, United States

    WESTMINSTER, CO 800239206

    Phone: (303) 430-5560

    Type: Mailing

  • 1179 N MCDOWELL BLVD

    PETALUMA, CA 949546559

    Phone: (707) 559-7500

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80023)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133180375View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. SHANNON MENTOCK (MD)?
For DR. SHANNON MENTOCK (MD), use NPI 1104353796 as the unique 10-digit identifier.
Active or inactive — what applies to DR. SHANNON MENTOCK (MD)?
You should see DR. SHANNON MENTOCK (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. SHANNON MENTOCK (MD)?
At a glance, DR. SHANNON MENTOCK (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. SHANNON MENTOCK (MD)?
Travel planning: use Westminster, Colorado as the reference point for DR. SHANNON MENTOCK (MD), then confirm.
Can I trust this NPI listing for DR. SHANNON MENTOCK (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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