Lindsay Shanley, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

11750 W 2ND PL Ste 255
Lakewood, CO 80228-1726

Phone

(720) 638-7500

Fax

(720) 321-8041

NPI assigned

Aug 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO, OR, OH3 enrollments

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 3

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, 571 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• AdventHealth Porter Hospital, Denver, CO, CCN 060064
• AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
• Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116
• Legacy Emanuel Medical Center Hospital, Portland, OR, CCN 380007

Merit-based Incentive Payment System (MIPS)

Final score

89.06 of 100Reported as group

Quality

89.53

Promoting interoperability

100

Improvement activities

40

Cost

74

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lshanley1899445@nychhc.direct-ci.com

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.

• Kettering Independent Medical Group Inc

  • Orthopaedic Surgery Physician
  • Miamisburg, OH
  • NPI 1629387865

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Legacy Clinics LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1902827272

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083
  Medicare reassignment Care Compare group
• Portercare Adventist Health System

  • Otolaryngology Physician
  • Greenwood Village, CO
  • NPI 1760761928
  Medicare reassignment Care Compare group
• Colorado Permanente Medical Group, P.C.

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1760599724

  Multi-Specialty

  Medicare reassignment NPD
• Portercare Adventist Health System

  • Urology Physician
  • Lone Tree, CO
  • NPI 1104661370

  Multi-Specialty

  NPD
• Portercare Adventist Health System

  • Urology Physician
  • Lakewood, CO
  • NPI 1942165626

  Multi-Specialty

  NPD
• New York City Health and Hospitals Corporation

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1679587679

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Medical Center, LLC

  • General Acute Care Hospital
  • Lafayette, CO
  • NPI 1407845035
  Care Compare affiliation
• Portercare Adventist Health System

  • Emergency Care Clinic/Center
  • Littleton, CO
  • NPI 1548800154

  Hospital

  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Littleton, CO
  • NPI 1689688988
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Littleton, CO
  • NPI 1720628332
  Care Compare affiliation
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1801800594
  Care Compare affiliation
• Legacy Emanuel Hospital & Health Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1003367491
  Care Compare affiliation
• Legacy Emanuel Hospital & Health Center

  • Clinical Medical Laboratory
  • Portland, OR
  • NPI 1295756898

  Hospital

  Care Compare affiliation
• Legacy Emanuel Hospital & Health Center

  • Clinic/Center
  • Portland, OR
  • NPI 1700809027

  Hospital

  Care Compare affiliation
• Legacy Emanuel Hospital & Health Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1831112358
  Care Compare affiliation

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1780352401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 W 2ND PL STE 255",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281726",
            "telephone_number": "720-638-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 W 2ND PL STE 255",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281726",
            "telephone_number": "720-638-7500",
            "fax_number": "720-321-8041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Pace Plz",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100381598",
            "country_code": "US",
            "telephone_number": "212-618-6052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Graham St Ste 445",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972272002",
            "country_code": "US",
            "telephone_number": "503-944-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Southern Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291265",
            "country_code": "US",
            "telephone_number": "937-643-9299",
            "fax_number": "937-649-2343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2045 N Franklin St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802055437",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANLEY",
        "first_name": "LINDSAY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0007744",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA228221",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000215189",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2045 N Franklin St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802055437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachael Shaheen, OMT
• Laura Carson Shain, LPC, MA, LAC, SOMB
• Heather Matheson Shanahan, M.S.P.T.
• Tyson Lee Shanholtzer
• Jennifer Rose Shanley
• Kimberly Rachel Shao, MD
• Cora Shapiro
• Debra Joy Shapiro, LIC. AC.
• Ivori Alexandria Shappy, PH.D.
• David Sharer, DR, MD

• Surgical Physician Assistant in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.