Individual provider Active NPI

Shelleen E. Denno, M.D.

  • Internal Medicine Physician
  • Santa Rosa, CA
National Provider Identifier
1871567164
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A50098 Issued in CA
Practice address
2285 Olivet Lane
Santa Rosa, CA 95401
Phone
(707) 526-0465
Fax
(707) 526-0465
NPI assigned
Feb 14, 2006
Last updated
Sep 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A50098 CA Primary

Addresses

Primary practice location

2285 Olivet Lane
Santa Rosa, CA 95401

Mailing address

2285 Olivet Lane
Santa Rosa, CA 95401
Phone (707) 526-0465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120123000049 CA Practitioner - Internal Medicine 5597932137 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50098CAMDProsthodontist
A50098CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shelleen E. Denno, MD, Inc. Internal Medicine Current Accepting new patients
Aretaeus Telemedicine Inc. CurrentSince May 1, 2015 Accepting new patients
Mayers Memorial Hospital District CurrentSince Feb 15, 2022 Accepting new patients
Veterans Home of California Past Accepting new patients

Locations

20647 Commerce Way
Burney, CA 96013
Phone (530) 335-5457

43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511

1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

1 Madrone St
Willits, CA 95490
Phone (707) 456-3041

Interoperability endpoints

  • Direct secure messaging: sdenno@yourcarecommunity.org

Organizations & group practices 4

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1871567164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 OLIVET LANE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95401",
            "telephone_number": "707-526-0465",
            "fax_number": "707-526-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 OLIVET LANE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95401",
            "telephone_number": "707-526-0465",
            "fax_number": "707-526-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNO",
        "first_name": "SHELLEEN",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.