SHANNON MARIE TRANTHAM PA
NPI 1255969580
Physician Assistant in Denver, CO

Q: What is Shannon Trantham's NPI number?

The NPI number for Shannon Trantham is 1255969580. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Q: What is Shannon Trantham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Trantham was last updated on June 21, 2024. 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.

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment

777 BANNOCK ST, DENVER, CO 80204(248) 534-0622 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2024, Apr 7, 2022, May 12, 2021 and 1 more (4 updates tracked since 2020).

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About Shannon Marie Trantham Pa NPPES

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

SHANNON MARIE TRANTHAM PA (NPI 1255969580) is an individual physician assistant in Denver, Colorado, licensed in Michigan (5601010267) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Midwestern University College Of Dental Medicine, Downers Grove (2020).

NPPES Registry Identity

NPI1255969580

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHANNON MARIE TRANTHAMCredential: PA

Location Address777 BANNOCK STDenver, CO 80204-4507

Mailing Address11960 Clark RdDavisburg, MI 48350-2608 · (248) 534-0622

Phone(248) 534-0622

Sole ProprietorYes

Medical School CMSMidwestern University College Of Dental Medicine, Downers GroveGraduated 2020

Enumeration DateMarch 31, 2020

Last NPPES UpdateJune 21, 20244 updates tracked since enumeration

NPPES CertifiedJune 21, 2024

✔ NPI 1255969580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MI · 5601010267✔ Licensed in CO · PA.0008525

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

777 BANNOCK ST, Denver, CO 80204

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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 Marie Trantham Pa 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 ID9739598210

PECOS Enrollment IDI20240725003279

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80204 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier35 claims35 services$14.24 avg. paid by Medicare

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 supplier35 claims35 services$65.94 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 20

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

MS. KATHERINE JEANNE CARLEY RN, MSN, CS

Clinical Nurse Specialist (Psychiatric/Mental Health)