MRS. COLLEEN M SHATTUCK (PAC) – Medical Physician Assistant, NPI 1376672485
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. COLLEEN M SHATTUCK (PAC)
6455 S YOSEMITE ST
#600
GREENWOOD VILLAGE, CO 801115139
Phone: (303) 710-2013
Fax: (855) 244-2146
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)
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-10-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050405001122 | I | Physician Assistant | CO | TBD |
| I20191007003008 | I | Physician Assistant | MT | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 80111)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MT | |
| Hospitalist, Internal Medicine | MT | |
| Family Practice | MT | |
| A N E S T H E S I O L O G Y | ID | |
| Physician Assistant | MT | |
| Nurse Practitioner | MT | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Internal Medicine, Hematology/Oncology | MT | |
| Family Practice, Addiction Medicine | MN | |
| - | OK |
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