SHANDRA WILSON (MD) – Urology Physician, NPI 1275557043

SHANDRA WILSON (MD) is a healthcare provider. based in Castle rock, Colorado. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 41060 (CO). The NPI Number for SHANDRA WILSON (MD) is 1275557043

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
SHANDRA WILSON (MD)
NPI
1275557043
Phone
(720) 455-0670
Address
2352 Meadows Blvd Ste 300U
Enumeration Date
26 July 2006
Last Update Date
13 October 2020

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
2163413667
Group Practice PAC ID
0840513552
Professional Enrollment ID
I20040522000342
Address ID
CO804012793WH12905AVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

245 UROLOGY in CO

Provider Addresses for SHANDRA WILSON (MD)

  • 2352 Meadows Blvd Ste 300U

    Castle Rock, CO 801098406

    Phone: (720) 455-0670

    Fax: (720) 455-0671

    Type: Location

  • 12605 E 16th Ave

    Aurora, CO 800452545

    Phone: (720) 848-0000

    Type: Location

  • PO BOX 110429

    AURORA, CO 800420429

    Phone: (303) 493-7000

    Type: Mailing

  • 8200 E BELLEVIEW AVE STE 100E

    GREENWOOD VILLAGE, CO 801112804

    Phone: (303) 649-3710

    Fax: (303) 649-3711

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $451.

Total Amount is formed as General ($451) + Research ($0) + Ownership ($0) = $451.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Spinal Simplicity, LLC ($103).

Total Amount

$451

General + Research + Ownership

Payments

12

Total payment records

General Amount

$451

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2004-05-22

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
I20040522000342IUrologyCOTBD

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
81003Automated urinalysis test300188$0
99213Established patient office or other outpatient visit, 20-29 minutes204138$0
99212Established patient office or other outpatient visit, 10-19 minutes126102$0
52000Diagnostic exam of bladder and urethra using an endoscope9262$0
99204New patient office or other outpatient visit, 45-59 minutes9191$0
View full utilization report →

Insurance plans in this area (ZIP 80109)

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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: 0840513552View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCO
-CA
-CO
Physician AssistantCO
Hospitalist, Family PracticeCO
-CO
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
O B S T E T R I C S/ G Y N E C O L O G YCO
-CO
-CO

Reviews

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Frequently asked questions

Is SHANDRA WILSON (MD) listed with a National Provider Identifier?
Yes — SHANDRA WILSON (MD) has NPI 1275557043 on file in the registry.
Is SHANDRA WILSON (MD) shown as active in public data?
Registry records indicate SHANDRA WILSON (MD) maintains an active NPI.
How would a patient describe SHANDRA WILSON (MD)'s focus?
For SHANDRA WILSON (MD), the primary taxonomy reads as Urology Physician. Clinical services aligned with this taxonomy classification.
Is SHANDRA WILSON (MD) located near Castle Rock?
SHANDRA WILSON (MD) currently maps to Castle Rock, Colorado in this extract.
Can I trust this NPI listing for SHANDRA WILSON (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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