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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNON FRYETT
NPI 1508455718
Physician Assistant - Medical in Denver, CO

Active since January 12, 2021PECOS EnrolledAccepts Medicare Assignment
777 BANNOCK ST, DENVER, CO 80204(303) 436-4949(303) 602-5184 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2024, Sep 2, 2023, Jan 12, 2021 (3 updates tracked since 2021).

About Shannon Fryett NPPES

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

SHANNON FRYETT (NPI 1508455718) is an individual medical provider in Denver, Colorado, licensed in Colorado (PA.0007994) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Escondido, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508455718
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHANNON FRYETT
Location Address777 BANNOCK STDenver, CO 80204-4597
Mailing Address777 Bannock StDenver, CO 80204-4597 · (303) 436-4949 · Fax (303) 602-5184
Phone(303) 436-4949
Fax(303) 602-5184
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 12, 2021
Last NPPES UpdateJune 11, 20263 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1508455718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CO · PA.0007994
777 BANNOCK ST, Denver, CO 80204
Open in Google Maps ↗

Secondary Practice Location 1

Location 111422 Kaywood CirEscondido, CA 92026-8407 · Phone (760) 670-7955

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Shannon Fryett 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 ID4284080227
PECOS Enrollment IDI20231026002332
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services16 patients

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)
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6630
RYAN DEAN LATERZA M.D.
Anesthesiology
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000
BARBARA E ANDERSON NP
Nurse Practitioner
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 602-0340
PHILIP ANDREOLI D.O.
Hospitalist
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-4949
JESSICA RENEE KUDLOCK LCSW
Social Worker (Clinical)
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 602-7220
ELIZABETH PERKINS-PRIDE
Nurse Practitioner
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000
KIRSTEN ERIKSEN PA-C
Physician Assistant
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000
KATHRYN IRENE GARNER MD, MPH
Family Medicine
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000

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 Fryett's NPI number?

The NPI number for Shannon Fryett is 1508455718. It was assigned to this individual provider in the NPPES registry on January 12, 2021.

Where is Shannon Fryett located?

Shannon Fryett practices at 777 Bannock St, Denver, CO 80204. The listed phone number is (303) 436-4949.

What is Shannon Fryett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shannon Fryett enrolled in Medicare?

Yes. Shannon Fryett 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 Shannon Fryett accept?

Health plans from UnitedHealthcare list Shannon Fryett 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 Fryett was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.