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DR. SHANNON NICOLE BUNDY D.C.
NPI 1073053799
Chiropractor in Westminster, CO

Active since February 28, 2017
12050 PECOS ST STE 208, WESTMINSTER, CO 80234(720) 379-7255(720) 524-3012 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 30, 2023, Aug 21, 2019, Feb 28, 2017 (3 updates tracked since 2017).

About Dr. Shannon Nicole Bundy D.c. NPPES

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

DR. SHANNON NICOLE BUNDY D.C. (NPI 1073053799) is an individual chiropractor in Westminster, Colorado, licensed in Colorado (CHR.0007471) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1073053799
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. SHANNON NICOLE BUNDYCredential: D.C.
Location Address12050 PECOS ST STE 208Westminster, CO 80234-2080
Mailing Address12050 Pecos St Ste 208Westminster, CO 80234-2080 · (720) 379-7255 · Fax (720) 524-3012
Phone(720) 379-7255
Fax(720) 524-3012
Sole ProprietorNo
Enumeration DateFebruary 28, 2017
Last NPPES UpdateOctober 30, 20233 updates tracked since enumeration
NPPES CertifiedOctober 20, 2023
✔ NPI 1073053799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CO · CHR.0007471
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
12050 PECOS ST STE 208, Westminster, CO 80234
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Shannon Nicole Potter

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shannon Nicole Bundy D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Shannon Bundy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellness Way Westminster LLC
Same address
Chiropractor
12050 PECOS ST STE 208
Westminster, CO 80234
  • Reassigned Medicare billing, Colorado enrollment
  • 2 clinicians in this Medicare group
NPI 1114431491 (720) 379-7255

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLNESS WAY WESTMINSTER LLC
Chiropractor
12050 PECOS ST STE 208
WESTMINSTER, CO 80234
Adams County (720) 379-7255
MR. JEFFREY ALLEN CARTWRIGHT DC
Chiropractor
12050 PECOS ST STE 208
WESTMINSTER, CO 80234
Adams County (720) 943-1200
DR. IVAN ANDRES PALOU ACOSTA DC
Chiropractor
12050 PECOS ST STE 208
WESTMINSTER, CO 80234
Adams County (720) 379-7255
JAMES BROWN DC
Chiropractor
12050 PECOS ST STE 208
WESTMINSTER, CO 80234
Adams County (720) 379-7255
SAMANTHA LEGER DC
Chiropractor
12050 PECOS ST STE 208
WESTMINSTER, CO 80234
Adams County (720) 379-7255

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 Bundy's NPI number?

The NPI number for Shannon Bundy is 1073053799. It was assigned to this individual provider in the NPPES registry on February 28, 2017. The provider is also known as Mrs. Shannon Nicole Potter.

Where is Shannon Bundy located?

Shannon Bundy practices at 12050 Pecos St Ste 208, Westminster, CO 80234. The listed phone number is (720) 379-7255.

What is Shannon Bundy's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Shannon Bundy enrolled in Medicare?

Yes. Shannon Bundy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Bundy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Bundy reassigns Medicare benefits to Wellness Way Westminster LLC (Westminster, 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 Bundy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Bundy was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.