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DR. SHANNON D EVANS DO
NPI 1003071804
Family Medicine in Fort Collins, CO

Active since July 22, 2008Opted out of Medicare · through Jan 28, 2027
4745 BOARDWALK DRIVE UNIT C3, FORT COLLINS, CO 80525(970) 305-0101 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shannon D Evans Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANNON D EVANS DO (NPI 1003071804) is an individual family medicine provider in Fort Collins, Colorado, licensed in Colorado (DR.0060131) and active in the NPI registry since July 2008. She has opted out of Medicare through January 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003071804
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHANNON D EVANSCredential: DO
Location Address4745 BOARDWALK DRIVE UNIT C3Fort Collins, CO 80525
Mailing Address4745 Boardwalk Drive Unit C3Fort Collins, CO 80525 · (970) 305-0101
Phone(970) 305-0101
Sole ProprietorNo
Enumeration DateJuly 22, 2008
Last NPPES UpdateAugust 22, 2018
✔ NPI 1003071804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CO · DR.0060131✔ Licensed in HI · DOS-1720✔ Licensed in WY · 8365A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4745 BOARDWALK DRIVE UNIT C3, Fort Collins, CO 80525
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Shannon D Evans Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 28, 2019 through January 28, 2027.

Opt-Out Effective DateJanuary 28, 2019
Opt-Out In Effect ThroughJanuary 28, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Evans's NPI number?

The NPI number for Shannon Evans is 1003071804. It was assigned to this individual provider in the NPPES registry on July 22, 2008.

Where is Shannon Evans located?

Shannon Evans practices at 4745 Boardwalk Drive Unit C3, Fort Collins, CO 80525. The listed phone number is (970) 305-0101.

What is Shannon Evans's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shannon Evans enrolled in Medicare?

No. Shannon Evans has opted out of Medicare through January 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Shannon Evans was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.