Dena Sue Sheppard-Madden, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28969 Issued in CO

Practice address

401 10TH St
Berthoud, CO 80513-1381

Phone

(970) 532-4910

Fax

(970) 532-2850

NPI assigned

May 8, 2006

Last updated

May 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Dena Sue Sheppard Former name

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

Specialty

Family Practice

Education

University of Colorado School of Medicine, Denver, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Banner Health Physicians Colorado LLCGroup PAC ID 8921273038, 278 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Banner Health Physicians Colorado LLC

  • Multi-Specialty Clinic/Center
  • Greeley, CO
  • NPI 1073899134
  Medicare reassignment Care Compare group NPD
• Banner Fort Collins PCP LLC

  • Primary Care Clinic/Center
  • Fort Collins, CO
  • NPI 1831982891
  Medicare reassignment NPD
• Banner Hospital Based Physicians Colorado LLC

  • Multi-Specialty Clinic/Center
  • Greeley, CO
  • NPI 1154679637
  Medicare reassignment NPD
• Banner Hospital Based Physicians Colorado LLC

  • Multi-Specialty Clinic/Center
  • Brush, CO
  • NPI 1275871204
  NPD
• Banner Health Physicians Colorado LLC

  • Multi-Specialty Clinic/Center
  • Torrington, WY
  • NPI 1215375688
  NPD
• Banner Hospital Based Physicians Colorado LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1376304758
  NPD
• Banner Fort Collins PCP LLC

  • Multi-Specialty Clinic/Center
  • Fort Collins, CO
  • NPI 1013707207
  NPD (past)
• Banner Health Physicians Colorado LLC

  • Multi-Specialty Clinic/Center
  • Windsor, CO
  • NPI 1831476381
  NPD (past)
• First Care Physicians LLP

  • Family Medicine Physician
  • Loveland, CO
  • NPI 1497700447
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1841249968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 10TH ST",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805131381",
            "telephone_number": "970-532-4910",
            "fax_number": "970-532-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 10TH ST",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805131381",
            "telephone_number": "970-532-4910",
            "fax_number": "970-532-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD-MADDEN",
        "first_name": "DENA",
        "middle_name": "SUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "28969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "84132889806",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS",
            "identifier": "84132889807",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01289693",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MOUNTAIN HEALTH PLA",
            "identifier": "84132889801",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS",
            "identifier": "84132889806",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "84132889807",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENA",
            "last_name": "SHEPPARD",
            "middle_name": "SUE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Rousseau-Simmons, OT
• Sarah Santefort, MA, CCC-SLP
• Kerri Schleiger, RN
• Margaret R Scoufis, SLP
• Darla Shaw
• Jessica Sletten
• Cody Reed Somerville, DC
• SSC Berthoud Operating Company LLC (Berthoud Living Center)
• SSC Berthoud Operating Company LLC (Berthoud Living Center)
• William Web Stanton, D.C.

• Family Medicine Physician in Berthoud, CO
• Providers in Berthoud, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.