SHANNA MICHELE WELGRAVEN (DO) – Obstetrics & Gynecology Physician, NPI 1629333190

SHANNA MICHELE WELGRAVEN (DO) is a healthcare provider. based in Denver, Colorado. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. 66710 (MN). The NPI Number for SHANNA MICHELE WELGRAVEN (DO) is 1629333190

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SHANNA MICHELE WELGRAVEN (DO)
NPI
1629333190
Phone
(303) 861-4914
Address
1601 E 19TH AVE
Enumeration Date
10 July 2012
Last Update Date
24 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9128826310
Graduation Year
2012 (14 years ago)
PAC ID
4183916174
Group Practice PAC ID
9830093640
Professional Enrollment ID
I20221122003708
Address ID
GA315583895SA2060XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

824 OBSTETRICS/GYNECOLOGY in CO

Provider Addresses for SHANNA MICHELE WELGRAVEN (DO)

  • 1601 E 19TH AVE

    SUITE 4200

    DENVER, CO 802181216

    Phone: (303) 861-4914

    Fax: (303) 861-8615

    Type: Mailing

  • PO BOX 1213

    BRUNSWICK, GA 315211213

    Phone: (303) 861-4914

    Fax: (303) 861-8615

    Type: Mailing

  • 2060 DAN PROCTOR DR STE 1200

    SAINT MARYS, GA 315583895

    Phone: (912) 540-6750

    Fax: (912) 540-6773

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $187.

Total Amount is formed as General ($187) + Research ($0) + Ownership ($0) = $187.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($56).

Total Amount

$187

General + Research + Ownership

Payments

9

Total payment records

General Amount

$187

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

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: 2026-01-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221122003708IObstetrics/GynecologyGATBD
I20260113000385IObstetrics/GynecologyFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2218$0
99204New patient office or other outpatient visit, 45-59 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 80218)

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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: 9830093640View full group profile
NameSpecialtyState
Infectious DiseaseGA
Family PracticeGA
Physician AssistantGA
Family PracticeGA
Physician AssistantGA
Internal MedicineGA
-GA
Cardiovascular Disease (Cardiology), Internal MedicineGA
-GA
-GA

Reviews

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Frequently asked questions

What unique ID ties claims to SHANNA MICHELE WELGRAVEN (DO)?
NPI 1629333190 is assigned to SHANNA MICHELE WELGRAVEN (DO) under the national enumeration system.
Does this profile mean SHANNA MICHELE WELGRAVEN (DO) is currently active?
Yes — SHANNA MICHELE WELGRAVEN (DO) appears active in the national provider directory.
Does SHANNA MICHELE WELGRAVEN (DO) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for SHANNA MICHELE WELGRAVEN (DO). Clinical services aligned with this taxonomy classification.
What location metadata exists for SHANNA MICHELE WELGRAVEN (DO)?
The page summarizes Denver, Colorado for SHANNA MICHELE WELGRAVEN (DO); expand the address list for detail.
Is SHANNA MICHELE WELGRAVEN (DO) a real provider?
This page reflects official NPPES data for NPI 1629333190. Always confirm identity and privileges with the practice and licensing boards.

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