Individual provider Active NPI

Frederick Shawn Rolingher, PA-C

  • Psychiatry Physician
  • Westminster, CO
National Provider Identifier
1497901409
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
PA.0002636 Issued in CO
Practice address
7929 W 105TH PL
Westminster, CO 80021-3959
Phone
(720) 839-2046
Fax
(303) 484-2457
NPI assigned
Aug 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X PA.0002636 CO Primary

Addresses

Primary practice location

7929 W 105TH PL
Westminster, CO 80021-3959

Mailing address

4264 E Dickenson PL
Denver, CO 80222-6015
Phone (720) 839-2046

Other practice location 1

262 S Bayfield Ave
Pueblo West, CO 81007-2750
Phone (720) 839-2046

Other identifiers 2

IdentifierTypeStateIssuer
63050234MedicaidCO
1497901409MedicaidWY

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
I20090422000286 CO Practitioner - Physician Assistant 4981751344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.65 of 100Reported as group
Quality
92.15
Promoting interoperability
100
Improvement activities
40
Cost
80.02

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Apr 28, 2016 Accepting new patients
Denver Health and Hospital Authority CurrentSince Apr 28, 2016 Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients
Colorado Orthopedic Specialists Past Accepting new patients

Locations

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

777 Bannock St
Ste MC3450
Denver, CO 80204

777 Bannock St
Denver, CO 80204

Organizations & group practices 4

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": "1218326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1497901409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4264 E DICKENSON PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226015",
            "telephone_number": "720-839-2046",
            "fax_number": "303-484-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7929 W 105TH PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800213959",
            "telephone_number": "720-839-2046",
            "fax_number": "303-484-2457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "262 S Bayfield Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo West",
            "state": "CO",
            "postal_code": "810072750",
            "country_code": "US",
            "telephone_number": "720-839-2046",
            "fax_number": "303-484-2457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLINGHER",
        "first_name": "FREDERICK",
        "middle_name": "SHAWN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-10",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "PA.0002636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63050234",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497901409",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.