DR. SHEALEEN A PANETTA OD
NPI 1194891457
Optometrist in Boulder, CO

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
580 MOHAWK DR, BOULDER, CO 80303(303) 338-4545 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2021, Jan 17, 2020 (2 updates tracked since 2020).

About Dr. Shealeen A Panetta Od NPPES

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

DR. SHEALEEN A PANETTA OD (NPI 1194891457) is an individual optometrist in Boulder, Colorado, licensed in Colorado (2936) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2004).

NPPES Registry Identity

NPI1194891457
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SHEALEEN A PANETTACredential: OD
Location Address580 MOHAWK DRBoulder, CO 80303-3712
Mailing Address2500 S Havana StAurora, CO 80014-1618 · (303) 338-4545
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2004
Enumeration DateNovember 28, 2006
Last NPPES UpdateMay 4, 20212 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
NPI 1194891457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in CO · 2936 Licensed in MD · TA1960 Licensed in DC · OP1000097
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

580 MOHAWK DR, Boulder, CO 80303

Other Names 1

Former Name (1)Shealeen Blum

Other Identifiers 2

Other024871CO · Kaiser Commercial Number
Medicaid64778223CO

Accepted Insurance

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

Dr. Shealeen A Panetta Od 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 ID1254305428
PECOS Enrollment IDI20141212001428
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 80303 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
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.

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.

Registered Nurse
580 MOHAWK DR
BOULDER, CO 80303
Obstetrics & Gynecology
580 MOHAWK DR
BOULDER, CO 80303
Optometrist
580 MOHAWK DR
BOULDER, CO 80303
Registered Nurse
580 MOHAWK DR
BOULDER, CO 80303
Nurse Practitioner (Obstetrics & Gynecology)
580 MOHAWK DR
BOULDER, CO 80303
Internal Medicine
580 MOHAWK DR
BOULDER, CO 80303
Registered Nurse (Pediatrics)
580 MOHAWK DR
BOULDER, CO 80303
Pediatrics
580 MOHAWK DR
BOULDER, CO 80303

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 Shealeen Panetta's NPI number?

The NPI number for Shealeen Panetta is 1194891457. It was assigned to this individual provider in the NPPES registry on November 28, 2006. The provider is also known as Shealeen Blum.

Where is Shealeen Panetta located?

Shealeen Panetta practices at 580 Mohawk Dr, Boulder, CO 80303. The listed phone number is (303) 338-4545.

What is Shealeen Panetta's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Shealeen Panetta enrolled in Medicare?

Yes. Shealeen Panetta 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.

What insurance does Shealeen Panetta accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Shealeen Panetta 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 Shealeen Panetta was last updated on May 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.