DR. SHEALEEN A PANETTA OD
NPI 1194891457
Optometrist in Boulder, CO
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
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Shealeen Panetta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80247
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Colorado Permanente Medical Group PC
- 1,715 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.
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.
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.
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.
Which organization bills Medicare for Shealeen Panetta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shealeen Panetta reassigns Medicare benefits to Colorado Permanente Medical Group, P.C. (Denver, 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 Shealeen Panetta'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 Shealeen Panetta was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Shealeen A Panetta, OD · NPI 1194891457
Optometrist provider in Boulder, Colorado. Individual provider, active in the CMS NPPES registry since November 28, 2006.
## Identity
- **NPI:** 1194891457 (Entity type: Individual)
- **Enumerated:** November 28, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2936 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 580 MOHAWK DR, Boulder, CO 80303-3712
- **Phone:** (303) 338-4545
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Colorado Permanente Medical Group, P.C. (NPI 1760599724, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania College Of Optometry, class of 2004
## Record status
- **NPPES last updated:** May 4, 2021
- **Other identifiers:** Other 024871 (CO); Medicaid 64778223 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1194891457) · Data from the CMS NPPES public registry.