Individual provider Active NPI

Amy E Shenkenberg, MD

  • Family Medicine Physician
  • Greeley, CO
National Provider Identifier
1518945112
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41185 Issued in CO
Practice address
5881 W 16TH St Ste a
Greeley, CO 80634-2910
Phone
(970) 652-2127
Fax
(970) 652-2447
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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 41185 CO Primary

Addresses

Primary practice location

5881 W 16TH St Ste a
Greeley, CO 80634-2910

Mailing address

1300 Riverside Ave Ste 102
Fort Collins, CO 80524-4351
Phone (970) 224-1670

Other practice location 1

1683 Main St
Windsor, CO 80550-7921
Phone (970) 686-0124

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
I20100126000234 CO Practitioner - Family Practice 1254473473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

5881 W 16TH St
Suite a Urgent Care Peakview
Greeley, CO 80634-2910
Phone (970) 652-2447

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41185COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Family Medicine, P.C. Family Medicine CurrentSince Oct 2, 2022 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jul 5, 2022 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Banner Medical Group Greeley LLC Past Accepting new patients
Big Thompson Medical Group Inc Family Medicine Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

5965 Firestone Blvd
Bldg B
Firestone, CO 80504
Phone (720) 652-7055

3519 Richmond Dr
Fort Collins, CO 80526
Phone (970) 204-0300

2127 E Harmony Rd
Ste 140
Fort Collins, CO 80528
Phone (970) 207-4800

1300 Riverside Ave
Ste 102
Fort Collins, CO 80524
Phone (970) 224-1670

5881 W 16th St
Ste A
Greeley, CO 80634
Phone (970) 313-2700

2819 35th Ave
Greeley, CO 80634
Phone (970) 652-2801

1900 16th St
Greeley, CO 80631
Phone (970) 350-2438

4846 Larimer Pkwy
Bldg 1
Johnstown, CO 80534
Phone (970) 624-2830

2101 Main St
Longmont, CO 80501
Phone (720) 745-8020

221 E 29th St
Ste 102
Loveland, CO 80538
Phone (970) 224-3636

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 3

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1518945112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 RIVERSIDE AVE STE 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244351",
            "telephone_number": "970-224-1670",
            "fax_number": "970-495-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 W 16TH ST STE A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342910",
            "telephone_number": "970-652-2127",
            "fax_number": "970-652-2447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1683 Main St",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CO",
            "postal_code": "805507921",
            "country_code": "US",
            "telephone_number": "970-686-0124",
            "fax_number": "970-686-0845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHENKENBERG",
        "first_name": "AMY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "41185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.