Individual provider Active NPI

Shannon Mungovan, WHNP-BC

  • Women's Health Nurse Practitioner
  • Golden, CO
National Provider Identifier
1255063285
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APN.0999062-NP Issued in CO
Practice address
2801 Youngfield St Ste 200
Golden, CO 80401-2202
Phone
(303) 940-1867
Fax
(303) 940-1894
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APN.0999062-NP CO Primary

Addresses

Primary practice location

2801 Youngfield St Ste 200
Golden, CO 80401-2202

Mailing address

4230 Beautiful Cir
Castle Rock, CO 80109-4549
Phone (203) 733-8331

Other names 1

  • Shannon O'Gorman Former name

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
I20240313000028 CO Practitioner - Nurse Practitioner 4486090453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN AffiliatesGroup PAC ID 6608765060, 66 clinicians

Practice addresses (Care Compare)

2801 Youngfield St
Suite 200
Golden, CO 80401-2202
Phone (303) 940-1867

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0999062-NPCOMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne Mountain Gynecology LLC CurrentSince Dec 31, 2023 Accepting new patients
OB-GYN Affiliates CurrentSince Nov 25, 2024 Accepting new patients

Locations

7200 S Alton Way
Ste A100
Centennial, CO 80112
Phone (303) 730-2229

2997 Broadmoor Valley Rd
Colorado Springs, CO 80906
Phone (719) 203-4723

2801 Youngfield St
Ste 200
Lakewood, CO 80401
Phone (303) 432-9939

Interoperability endpoints

  • Direct secure messaging: shannon.mungovan.1@8558.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1255063285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 BEAUTIFUL CIR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801094549",
            "telephone_number": "203-733-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST STE 200",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012202",
            "telephone_number": "303-940-1867",
            "fax_number": "303-940-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGOVAN",
        "first_name": "SHANNON",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "APN.0999062-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "O'GORMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.