Active NPI
Shen F. Nagel, M.D.
- Pediatrics Physician
- Wheat Ridge, CO
National Provider Identifier
1609892884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 30780
- Practice address
- 3655 Lutheran Parkway
Suite 200
Wheat Ridge, CO 80033-6027 - Phone
- (720) 284-3700
- Fax
- (303) 467-0525
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 30780 | CO | Primary |
Addresses
Primary practice location
3655 Lutheran Parkway
Suite 200
Wheat Ridge, CO 80033-6027
Mailing address
3655 Lutheran Parkway
Suite 200
Wheat Ridge, CO 80033-6027
Phone (720) 284-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09789839 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30780 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients | |
| Children'S Hospital Colorado | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- snagel14777@direct.childrenscolorado.org
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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
- Pediatrics Physician
- Wheat Ridge, CO
- NPI 1518720481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1609892884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3655 LUTHERAN PARKWAY",
"address_2": "SUITE 200",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336027",
"telephone_number": "720-284-3700",
"fax_number": "303-467-0525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 LUTHERAN PARKWAY",
"address_2": "SUITE 200",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336027",
"telephone_number": "720-284-3700",
"fax_number": "303-467-0525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGEL",
"first_name": "SHEN",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "30780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09789839",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.