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SHANNON FATJO LSW
NPI 1194565457
Social Worker in Hayden, CO

Active since May 24, 2024PECOS Enrolled
302 HARVEST DR, HAYDEN, CO 81639(970) 761-8885 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannon Fatjo Lsw NPPES

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

SHANNON FATJO LSW (NPI 1194565457) is an individual social worker in Hayden, Colorado, licensed in Colorado (CSW.09931257) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194565457
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHANNON FATJOCredential: LSW
Location Address302 HARVEST DRHayden, CO 81639-5065
Mailing AddressPo Box 1507Hayden, CO 81639-1507 · (970) 761-8885
Phone(970) 761-8885
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 24, 2024
Last NPPES UpdateApril 15, 2026
NPPES CertifiedApril 15, 2026
✔ NPI 1194565457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in CO · CSW.09931257
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
302 HARVEST DR, Hayden, CO 81639
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Harvard Pilgrim Health Care, Imperial Health Plan of the Southwest, Inc. and more.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 Fatjo Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971071093
PECOS Enrollment IDI20260914003120
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.

Medicare Billing Reassignment

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

Grow Healthcare Group PA
1,856 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Colorado and District of Columbia enrollments
  • 504 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fatjo's NPI number?

The NPI number for Shannon Fatjo is 1194565457. It was assigned to this individual provider in the NPPES registry on May 24, 2024.

Where is Shannon Fatjo located?

Shannon Fatjo practices at 302 Harvest Dr, Hayden, CO 81639. The listed phone number is (970) 761-8885.

What is Shannon Fatjo's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Shannon Fatjo enrolled in Medicare?

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

Which organization bills Medicare for Shannon Fatjo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Fatjo reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Fatjo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Fatjo accept?

Health plans from BridgeSpan Health Company, Harvard Pilgrim Health Care, Imperial Health Plan of the Southwest, Inc., Oscar Health and Oscar Insurance Company and 3 other insurers list Shannon Fatjo 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 Fatjo was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.