SHANNON L STATON (P.A.) – Physician Assistant, NPI 1114998069

SHANNON L STATON (P.A.) is a healthcare provider. based in Littleton, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 2093 (CO). The NPI Number for SHANNON L STATON (P.A.) is 1114998069

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON L STATON (P.A.)
NPI
1114998069
Phone
(303) 948-1570
Address
6179 S BALSAM WAY
Enumeration Date
30 January 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
0244243913
Group Practice PAC ID
1951210418
Professional Enrollment ID
I20070802000070
Address ID
NE681304661OM16909CTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for SHANNON L STATON (P.A.)

  • 6179 S BALSAM WAY

    SUITE 110

    LITTLETON, CO 801233091

    Phone: (303) 948-1570

    Fax: (303) 972-6871

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $633.

Total Amount is formed as General ($633) + Research ($0) + Ownership ($0) = $633.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Integra LifeSciences Corporation ($74).

Total Amount

$633

General + Research + Ownership

Payments

30

Total payment records

General Amount

$633

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070802000070IPhysician AssistantNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2823$0
99212Established patient office or other outpatient visit, 10-19 minutes1713$0
View full utilization report →

Insurance plans in this area (ZIP 80123)

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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: 1951210418View full group profile
NameSpecialtyState
H O S P I T A L I S TNE
Orthopedic SurgeryNE
Physician AssistantNE
Cardiovascular Disease (Cardiology)NE
H O S P I T A L I S TCA
N E U R O L O G YMO
U R O L O G YNE
Hospitalist, Internal MedicineIA
Family PracticeNE
Orthopedic SurgeryIL

Reviews

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Frequently asked questions

Can I verify SHANNON L STATON (P.A.) with an NPI only?
You can start verification with NPI 1114998069 for SHANNON L STATON (P.A.), then check state licensing separately.
Is SHANNON L STATON (P.A.) listed as active for patients and plans?
The listing shows SHANNON L STATON (P.A.) as active in the NPI system.
What is SHANNON L STATON (P.A.)'s primary classification?
Physician Assistant is the headline specialty for SHANNON L STATON (P.A.) here. Clinical services aligned with this taxonomy classification.
Does SHANNON L STATON (P.A.) list a practice location?
Patients near Littleton, Colorado may find SHANNON L STATON (P.A.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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