NPIMap

Individual provider Active NPI

Raewyn D'Laine Shell, D.O.

  • Family Medicine Physician
  • Aurora, CO
National Provider Identifier
1982717047
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36408 Issued in CO
Practice address
24300 E Smoky Hill Rd Unit 120
Aurora, CO 80016-1387
Phone
(303) 330-0410
Fax
(303) 330-0732
NPI assigned
Aug 15, 2006
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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 36408 CO Primary

Addresses

Primary practice location

24300 E Smoky Hill Rd Unit 120
Aurora, CO 80016-1387

Mailing address

1805 Shea Center Dr Ste 301
Highlands Ranch, CO 80129-2277
Phone (303) 330-0410

Other identifiers 1

IdentifierTypeStateIssuer
01364082MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091104000185 CO Practitioner - Family Practice 0143368613 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pahs Onpoint Urgent Care LLCGroup PAC ID 3476888363, 36 clinicians
Medventures PLLCGroup PAC ID 1850440652, 19 clinicians

Practice addresses (Care Compare)

24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016-1387
Phone (303) 341-4411

7280 Lagae Rd
Suite I
Castle Pines, CO 80108-9454
Phone (720) 638-3405

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.22 of 100Reported as group
Quality
57.29
Improvement activities
40
Cost
72.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36408COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pahs Onpoint Urgent Care LLC CurrentSince Jul 1, 2019 Accepting new patients
Urgent Care Solutions, Glendale, PC CurrentSince Dec 1, 2016 Accepting new patients
Onpoint Medical Group, LLC Family Medicine CurrentSince May 1, 2021 Accepting new patients
Onpoint Medical Group, LLC Family Medicine Current Accepting new patients
Pahs Onpoint Urgent Care LLC CurrentSince Jul 1, 2019 Accepting new patients
Onpoint Medical Group, LLC CurrentSince May 1, 2021 Accepting new patients
Castle Rock Medical Clinic, P.C. Family Medicine Past Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016
Phone (303) 330-0410

1151 Aloha St
Ste 200
Castle Rock, CO 80108
Phone (303) 357-2559

3800 Irving St
Ste 10
Denver, CO 80211
Phone (303) 477-6000

10120 E Dry Creek Rd
Ste 101
Englewood, CO 80112
Phone (303) 330-0410

760 S Colorado Blvd
Unit A
Glendale, CO 80246
Phone (303) 692-8000

8200 E Belleview Ave
Ste 202C
Greenwood Village, CO 80111
Phone (303) 357-2551

1805 Shea Center Dr
Ste 301
Highlands Ranch, CO 80129
Phone (303) 357-2559

9205 S Broadway
Highlands Ranch, CO 80129
Phone (303) 330-0271

7335 S Pierce St
Littleton, CO 80128
Phone (303) 932-1919

9695 S Yosemite St
Ste 150
Lone Tree, CO 80124
Phone (303) 317-4878

Interoperability endpoints

  • Direct secure messaging: raewyn.shell.2@9821.direct.athenahealth.com
  • Direct secure messaging: raewyn.shell.4@9821.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1982717047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SHEA CENTER DR STE 301",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292277",
            "telephone_number": "303-330-0410",
            "fax_number": "303-330-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24300 E SMOKY HILL RD UNIT 120",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161387",
            "telephone_number": "303-330-0410",
            "fax_number": "303-330-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELL",
        "first_name": "RAEWYN",
        "middle_name": "D'LAINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "36408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01364082",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.