Individual provider Active NPI

Shelby Elizabeth Osborne, D.O.

  • Obstetrics & Gynecology Physician
  • Breckenridge, CO
National Provider Identifier
1114210184
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
55477 Issued in CO
Practice address
16172 Highway 9
Swan Mountain Women's Center
Breckenridge, CO 80424
Phone
(970) 423-8840
Fax
(970) 423-8850
NPI assigned
May 24, 2011
Last updated
Feb 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 55477 CO Primary
Obstetrics & Gynecology Physician 207V00000X E-9436 AR

Addresses

Primary practice location

16172 Highway 9
Swan Mountain Women's Center
Breckenridge, CO 80424

Mailing address

16172 Highway 9
Breckenridge, CO 80424-8959
Phone (970) 423-8840

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160315002742 CO Practitioner - Obstetrics/Gynecology 4880832815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swan Mountain Womens Center PCGroup PAC ID 0244489649, 5 clinicians

Practice addresses (Care Compare)

16172 Hwy 9
Breckenridge, CO 80424-8959
Phone (970) 423-8840

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-9436ARMDObstetrics & Gynecology Physician
55477COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swan Mountain Women's Center, PC Obstetrics & Gynecology CurrentSince Oct 14, 2015 Accepting new patients
Swan Mountain Women's Center, PC Obstetrics & Gynecology Current Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

16172 Highway 9
Breckenridge, CO 80424
Phone (970) 423-8840

Organizations & group practices 3

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.

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": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1114210184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16172 HIGHWAY 9",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248959",
            "telephone_number": "970-423-8840",
            "fax_number": "970-423-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16172 HIGHWAY 9",
            "address_2": "SWAN MOUNTAIN WOMEN'S CENTER",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "80424",
            "telephone_number": "970-423-8840",
            "fax_number": "970-423-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "SHELBY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "55477",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-9436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breckenridge, CO

Sources for this page

Verify at the official NPI Registry.