MS. SHELLY RAE SHADRICK (PAC) – Physician Assistant, NPI 1215919907
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
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Provider Addresses for MS. SHELLY RAE SHADRICK (PAC)
2777, Mile High Stadium Circle, Jefferson Park, Denver, Denver County, Colorado, 80211, United States
DENVER, CO 802115222
Phone: (303) 825-8822
Fax: (303) 825-4022
Type: Mailing
2500 ROCKY MOUNTAIN AVE STE 2200
LOVELAND, CO 805389004
Phone: (970) 669-9100
Fax: (970) 669-0400
Type: Mailing
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 $786.
Total Amount is formed as General ($786) + Research ($0) + Ownership ($0) = $786.
Last reported payment date: 2024-08-01 • Largest payer in this snapshot: ABBVIE INC. ($189).
Total Amount
$786
General + Research + Ownership
Payments
30
Total payment records
General Amount
$786
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-07-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110719000849 | I | Physician Assistant | CO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 129 | 122 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 124 | 106 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 89 | 87 | $0 |
| J3490 | Unclassified drugs | 83 | 46 | $0 |
| 11980 | Placement of hormone pellet under skin | 63 | 46 | $0 |
Insurance plans in this area (ZIP 80211)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CO | 51798 | Ultrasound measurement of bladder capacity after voiding | 190 | 157 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | CO | |
| - | CO | |
| - | MO | |
| O T O L A R Y N G O L O G Y | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO |
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