Individual provider Active NPI

Shannen McNamara, PA-C

  • Physician Assistant
  • Frisco, CO
National Provider Identifier
1740890011
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
163780 Issued in AK
Practice address
360 Peak One Dr Ste 180
Frisco, CO 80443-5948
Phone
(970) 668-4606
NPI assigned
Aug 3, 2020
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 163780 AK Primary

Addresses

Primary practice location

360 Peak One Dr Ste 180
Frisco, CO 80443-5948

Mailing address

2472 Patterson Rd Unit 8
Grand Junction, CO 81505-1100
Phone (970) 241-0202

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
I20241024002682 CO Practitioner - Physician Assistant 0446676951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vail-Summit Orthopaedics PCGroup PAC ID 4688564461, 32 clinicians

Practice addresses (Care Compare)

360 Peak One Dr
Suite 180
Frisco, CO 80443-5948
Phone (970) 668-3633

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vail-Summit Orthopaedics PC CurrentSince Nov 4, 2024 Accepting new patients
Vail-Summit Orthopaedics PC Past Accepting new patients

Locations

360 Peak One Dr
#180
Frisco, CO 80443
Phone (970) 668-3633

360 Peak One Dr
Ste 180
Frisco, CO 80443
Phone (970) 368-5945

2472 Patterson Rd
Unit 8
Grand Junction, CO 81505

180 S Frontage Rd W
Ste 2700
Vail, CO 81657
Phone (970) 476-7220

Interoperability endpoints

  • Direct secure messaging: mckinleyorthopedics.shannenmcnamara@158245.advancedmd-direct.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1740890011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 PATTERSON RD UNIT 8",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051100",
            "telephone_number": "970-241-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PEAK ONE DR STE 180",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435948",
            "telephone_number": "970-668-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "SHANNEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "163780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, CO

Sources for this page

Verify at the official NPI Registry.