Individual provider Active NPI

Shannon Nicole Hill, DO

  • Family Medicine Physician
  • Broomfield, CO
National Provider Identifier
1801095138
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52067 Issued in CO
Practice address
1420 W Midway Blvd
Broomfield, CO 80020-2090
Phone
(303) 466-1866
Fax
(303) 466-4081
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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 52067 CO Primary

Addresses

Primary practice location

1420 W Midway Blvd
Broomfield, CO 80020-2090

Mailing address

1420 W Midway Blvd
Broomfield, CO 80020-2090
Phone (303) 466-1866

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
I20140410001647 CO Practitioner - Osteopathic Manipulative Medicine 3476747742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Medical AssociatesGroup PAC ID 8628980026, 4 clinicians

Practice addresses (Care Compare)

1420 W Midway Blvd
Broomfield, CO 80020-2090
Phone (303) 466-1866

Hospital & facility affiliations

  • Adventhealth Avista Hospital, Louisville, CO, CCN 060103

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52067COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Medical Associates Family Medicine CurrentSince Sep 28, 2013 Accepting new patients
Northern Medical Associates Family Medicine Current Accepting new patients

Locations

1420 W Midway Blvd
Broomfield, CO 80020
Phone (303) 466-1866

Interoperability endpoints

  • Direct secure messaging: thomas.pham.p1@direct.aaspire.nextgenshare.com
  • Direct secure messaging: shannon.hill.p45@direct.ipn.nextgenshare.com
  • Direct secure messaging: shannon.hill.p1@direct.aaspire.nextgenshare.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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1801095138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W MIDWAY BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202090",
            "telephone_number": "303-466-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W MIDWAY BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202090",
            "telephone_number": "303-466-1866",
            "fax_number": "303-466-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "52067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.