NPIMap

Individual provider Active NPI

Shannon Williamson, NP

  • Gerontology Nurse Practitioner
  • Wheat Ridge, CO
National Provider Identifier
1073167870
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ANP.0994835-NP Issued in CO
Practice address
3885 Upham St Ste 100
Wheat Ridge, CO 80033-4800
Phone
(303) 742-0086
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X ANP.0994835-NP CO Primary

Addresses

Primary practice location

3885 Upham St Ste 100
Wheat Ridge, CO 80033-4800

Mailing address

1647 Elk Valley Dr
Evergreen, CO 80439-4924
Phone (720) 988-0069

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL shannon@Drfishman-drgeller.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190807003003 CO Practitioner - Nurse Practitioner 3173850559 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Colorado School of Medicine, Denver, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Intermountain Front Range, Inc.Group PAC ID 6800799537, 20 clinicians

Practice addresses (Care Compare)

3210 Lutheran Pkwy
Wheat Ridge, CO 80033-6019
Phone (303) 425-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ANP.0994835-NPCOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Platte Valley Medical Group, LLC CurrentSince Oct 13, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 12, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 12, 2025 Accepting new patients
Intermountain Front Range, Inc. Current Accepting new patients
Intermountain Front Range, Inc. CurrentSince Jan 27, 2020 Accepting new patients
Cancer Centers of Colorado, LLC CurrentSince Oct 13, 2025 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Oct 13, 2025 Accepting new patients
Intermountain Front Range, Inc. CurrentSince Jan 27, 2020 Accepting new patients
Platte Valley Medical Group LLC Past Accepting new patients
Saint Joseph Hospital, Inc Past Accepting new patients
Intermountain Medical Group Denver, LLC Past Accepting new patients
Intermountain Front Range, Inc. Past Accepting new patients
Cancer Centers of Colorado, LLC PastSince Nov 18, 2025 Accepting new patients

Locations

2777 Mile High Stadium Cir
Ste 100
Denver, CO 80211
Phone (303) 403-6820

1601 Lowell Blvd
Ste 150
Denver, CO 80204
Phone (303) 403-6820

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1825 N Marion St
Denver, CO 80218
Phone (303) 318-3434

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

400 Indiana St
Ste 300
Golden, CO 80401
Phone (303) 403-7333

750 Wellington Ave
Ste 3A
Grand Junction, CO 81501
Phone (970) 248-3188

340 Exempla Cir
Lafayette, CO 80026
Phone (303) 673-1600

500 Discovery Pkwy
Ste 100
Superior, CO 80027
Phone (303) 403-7800

3210 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 425-8000

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1073167870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 ELK VALLEY DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804394924",
            "telephone_number": "720-988-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 UPHAM ST STE 100",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334800",
            "telephone_number": "303-742-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "SHANNON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "ANP.0994835-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "shannon@Drfishman-drgeller.com",
            "affiliation": "N",
            "address_1": "3885 Upham St Ste 100",
            "city": "Wheat Ridge",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800334800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.