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DR. NICHOLAS DAVID SHUMAKER DDS, MS
NPI 1619957875
Dentist - Periodontics in Fort Collins, CO

Active since January 21, 2006PECOS Enrolled
4033 BOARDWALK DR, SUITE 100, FORT COLLINS, CO 80525(970) 207-4061(970) 207-0051 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nicholas David Shumaker Dds, Ms NPPES

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

DR. NICHOLAS DAVID SHUMAKER DDS, MS (NPI 1619957875) is an individual periodontics provider in Fort Collins, Colorado, licensed in Colorado (8350) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619957875
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. NICHOLAS DAVID SHUMAKERCredential: DDS, MS
Location Address4033 BOARDWALK DR, SUITE 100Fort Collins, CO 80525-5934
Mailing Address4033 Boardwalk Dr, Suite 100Fort Collins, CO 80525-5934 · (970) 207-4061 · Fax (970) 207-0051
Phone(970) 207-4061
Fax(970) 207-0051
Sole ProprietorNo
Enumeration DateJanuary 21, 2006
Last NPPES UpdateApril 30, 2012
✔ NPI 1619957875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CO · 8350
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4033 BOARDWALK DR, Fort Collins, CO 80525
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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 (PECOS)

Dr. Nicholas David Shumaker Dds, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 80525 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.

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 Nicholas Shumaker's NPI number?

The NPI number for Nicholas Shumaker is 1619957875. It was assigned to this individual provider in the NPPES registry on January 21, 2006.

Where is Nicholas Shumaker located?

Nicholas Shumaker practices at 4033 Boardwalk Dr Suite 100, Fort Collins, CO 80525. The listed phone number is (970) 207-4061.

What is Nicholas Shumaker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Nicholas Shumaker enrolled in Medicare?

Yes. Nicholas Shumaker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Shumaker was last updated on April 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.