SHANNON BOCK PA-C
NPI 1083662225
Physician Assistant in Broomfield, CO

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
403 SUMMIT BLVD, STE 201, BROOMFIELD, CO 80021(303) 429-6448(303) 951-3701 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Bock Pa-c NPPES

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

SHANNON BOCK PA-C (NPI 1083662225) is an individual physician assistant in Broomfield, Colorado, licensed in Colorado (1528) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1083662225
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON BOCKCredential: PA-C
Location Address403 SUMMIT BLVD, STE 201Broomfield, CO 80021
Mailing Address12596 W Bayaud Ave, Ste 205Lakewood, CO 80228-2018 · (720) 713-1885
Fax(303) 951-3701
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 4, 2006
Last NPPES UpdateMay 18, 2020
NPPES CertifiedMay 18, 2020
NPI 1083662225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CO · 1528
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
403 SUMMIT BLVD, Broomfield, CO 80021

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shannon Bock Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779538780
PECOS Enrollment IDI20050312000092
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80021 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
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$17.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Pain Medicine (Interventional Pain Medicine)
403 SUMMIT BLVD, SUITE 201
BROOMFIELD, CO 80021
Otolaryngology
403 SUMMIT BLVD
BROOMFIELD, CO 80021
Audiologist
403 SUMMIT BLVD, SUITE 204
BROOMFIELD, CO 80021
Audiologist
403 SUMMIT BLVD, SUITE 204
BROOMFIELD, CO 80021
Otolaryngology
403 SUMMIT BLVD, SUITE 204
BROOMFIELD, CO 80021
Pain Medicine (Interventional Pain Medicine)
403 SUMMIT BLVD, SUITE 201
BROOMFIELD, CO 80021
Clinic/Center (Dental)
403 SUMMIT BLVD, UNIT 202
BROOMFIELD, CO 80021
Physical Therapist
403 SUMMIT BLVD, STE 201
BROOMFIELD, CO 80021

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 Bock's NPI number?

The NPI number for Shannon Bock is 1083662225. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Shannon Bock located?

Shannon Bock practices at 403 Summit Blvd Ste 201, Broomfield, CO 80021. The listed phone number is (303) 429-6448.

What is Shannon Bock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shannon Bock enrolled in Medicare?

Yes. Shannon Bock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shannon Bock was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.