Individual provider Active NPI

Savannah Kramer Shannon, PA

  • Physician Assistant
  • Englewood, CO
National Provider Identifier
1104478056
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
499 E Hampden Ave Ste 300
Englewood, CO 80113-2793
Phone
(303) 788-8500
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

499 E Hampden Ave Ste 300
Englewood, CO 80113-2793

Mailing address

499 E Hampden Ave Ste 300
Englewood, CO 80113-2793
Phone (303) 788-8500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NJHealth@njc.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220106001751 CO Practitioner - Physician Assistant 0840681581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Surgone PCGroup PAC ID 9032002985, 39 clinicians

Practice addresses (Care Compare)

10103 Ridgegate Pkwy
Suite 208
Lone Tree, CO 80124-5525
Phone (303) 535-5350

1601 E 19TH Ave
Suite 6300
Denver, CO 80218-1255
Phone (303) 839-5669

7851 S Elati St
Suite 102
Littleton, CO 80120-8081
Phone (303) 798-1309

Hospital & facility affiliations

  • National Jewish Health Hospital, Denver, CO, CCN 060107

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
69.37
Promoting interoperability
100
Improvement activities
40
Cost
65.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Surgone, PC CurrentSince Oct 21, 2025 Accepting new patients
Surgone, PC CurrentSince Oct 21, 2025 Accepting new patients

Locations

1601 E 19th Ave
Ste 6300
Denver, CO 80218
Phone (303) 839-5669

7851 S Elati St
Ste 102
Littleton, CO 80120
Phone 3037981309 ext. 8

10103 Ridgegate Pkwy
Ste 217
Lone Tree, CO 80124
Phone (303) 789-1877

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 1

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": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1104478056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132793",
            "telephone_number": "303-788-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132793",
            "telephone_number": "303-788-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "SAVANNAH",
        "middle_name": "KRAMER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NJHealth@njc.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "499 E Hampden Ave Ste 300",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801132793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.