NPIMap

Individual provider Active NPI

Stephanie L Shrago, M.D.

  • Family Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1295870129
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0043835 Issued in CO
Practice address
3150 N 12TH St
Grand Junction, CO 81506-2863
Phone
(970) 245-1220
Fax
(970) 245-9148
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0043835 CO Primary

Addresses

Primary practice location

3150 N 12TH St
Grand Junction, CO 81506-2863

Mailing address

PO Box 10700
Grand Junction, CO 81502-5517
Phone (970) 254-2642

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
I20070904000612 CO Practitioner - Family Practice 5698868891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Partners IncGroup PAC ID 7810893161, 58 clinicians

Practice addresses (Care Compare)

2635 N 7TH St
Grand Junction, CO 81501-8209
Phone (970) 298-7578

2698 Patterson Rd
Grand Junction, CO 81506-8818
Phone (970) 298-2800

3150 N 12TH St
Grand Junction, CO 81506-2863
Phone (970) 245-1220

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0043835COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Hospital and Medical Center, Inc CurrentSince Jul 18, 2018 Accepting new patients
Primary Care Partners, Inc. Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
Primary Care Partners, Inc. Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
St Mary'S Hospital and Medical Center, Inc Family Medicine CurrentSince Jul 18, 2018 Accepting new patients
Primary Care Partners, Inc. Past Accepting new patients

Locations

3150 N 12th St
Grand Junction, CO 81506
Phone (970) 243-5437

2698 Patterson Rd
Grand Junction, CO 81506
Phone (970) 298-2800

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

Interoperability endpoints

  • Direct secure messaging: stephanieshrago@pcp.allscriptsdirect.net

Organizations & group practices 5

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 12

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1295870129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10700",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815025517",
            "telephone_number": "970-254-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N 12TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815062863",
            "telephone_number": "970-245-1220",
            "fax_number": "970-245-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRAGO",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0043835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.