SHANNON BUCKVOLD MD
NPI 1063439743
Pediatrics - Pediatric Critical Care Medicine in Aurora, CO
About Shannon Buckvold Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON BUCKVOLD MD (NPI 1063439743) is an individual pediatric critical care medicine provider in Aurora, Colorado, licensed in Colorado (44614) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon Buckvold Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannon Buckvold reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Aurora, CO 80045
- Reassigned Medicare billing, Colorado enrollment
- 4,283 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
AURORA, CO 80045
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 Buckvold's NPI number?
The NPI number for Shannon Buckvold is 1063439743. It was assigned to this individual provider in the NPPES registry on July 17, 2006.
Where is Shannon Buckvold located?
Shannon Buckvold practices at 13123 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 777-1234.
What is Shannon Buckvold's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.
Is Shannon Buckvold enrolled in Medicare?
Yes. Shannon Buckvold is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shannon Buckvold's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Buckvold reassigns Medicare benefits to University Physicians Incorporated (Aurora, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Buckvold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Buckvold accept?
Health plans from Select Health list Shannon Buckvold as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shannon Buckvold was last updated on September 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Shannon Buckvold, MD · NPI 1063439743
Pediatric Critical Care Medicine physician in Aurora, Colorado. Individual provider, active in the CMS NPPES registry since July 17, 2006.
## Identity
- **NPI:** 1063439743 (Entity type: Individual)
- **Enumerated:** July 17, 2006
- **Primary specialty:** Pediatrics - Pediatric Critical Care Medicine · taxonomy 2080P0203X
- **State license:** 44614 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 13123 E 16TH AVE, Aurora, CO 80045-7106
- **Phone:** (720) 777-1234
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Physicians Incorporated (NPI 1083662498, Aurora, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2012
- **Other identifiers:** Medicare PIN COA101217 (CO); Medicaid 54934249 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1063439743) · Data from the CMS NPPES public registry.