Individual provider Active NPI

Shawn Allen

  • Neurology Physician
  • St George, UT
National Provider Identifier
1083147441
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
12769738-1205 Issued in UT
Practice address
2891 E Mall Dr Ste 101
St George, UT 84790-2399
Phone
(435) 619-8632
Fax
(435) 619-8633
NPI assigned
Apr 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 12769738-1205 UT Primary

Addresses

Primary practice location

2891 E Mall Dr Ste 101
St George, UT 84790-2399

Mailing address

PO Box 912042
Saint George, UT 84791-2042
Phone (435) 215-0228

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220512002877 UT Practitioner - Neurology 1951651041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Spine and Pain Care Specialists LLCGroup PAC ID 6406020049, 42 clinicians

Practice addresses (Care Compare)

2891 E Mall Dr
Suite 101
Saint George, UT 84790-1954
Phone (435) 656-2424

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.97 of 100Reported as group
Quality
68.31
Promoting interoperability
86
Improvement activities
40
Cost
73.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12769738-1205UTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Spine and Pain Care Specialists, LLC CurrentSince Apr 20, 2022 Accepting new patients
Southwest Spine and Pain Care Specialists, LLC Neurology CurrentSince Apr 20, 2022 Accepting new patients

Locations

2311 N Main St
#101
Cedar City, UT 84721

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

25 N 2000 W
Ste 8
Hurricane, UT 84737
Phone (435) 635-0174

301 N 200 E
Ste 2A
St George, UT 84770
Phone (435) 628-3651

2051 E Red Hills Pkwy
Ste 7
St George, UT 84770
Phone (435) 703-2930

2891 E Mall Dr
Ste 101
St George, UT 84790
Phone (435) 879-7610

2891 E Mall Dr
Ste 102
St George, UT 84790

Networks

  • UT PPO D-SNP
  • UT PPO

Interoperability endpoints

  • Direct secure messaging: allenshawn@ssapcsl-ut.direct.office.nextgen.com
  • Direct secure messaging: sallen235838@direct.cshs.org

Organizations & group practices 2

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

Hospital & facility affiliations 4

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1083147441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912042",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847912042",
            "telephone_number": "435-215-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 E MALL DR STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902399",
            "telephone_number": "435-619-8632",
            "fax_number": "435-619-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SHAWN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "12769738-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.