MS. MARY J SHAFFER NP
NPI 1912061466
Nurse Practitioner - Adult Health in Colorado Springs, CO

Q: What is Mary Shaffer's NPI number?

The NPI number for Mary Shaffer is 1912061466. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Q: What is Mary Shaffer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Shaffer was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 December 20, 2006PECOS Enrolled

722 S WAHSATCH AVE, COLORADO SPRINGS, CO 80903(719) 632-5700(719) 344-7828 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ms. Mary J Shaffer Np NPPES

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

MS. MARY J SHAFFER NP (NPI 1912061466) is an individual adult health provider in Colorado Springs, Colorado, licensed in Colorado (63257) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912061466

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. MARY J SHAFFERCredential: NP

Location Address722 S WAHSATCH AVEColorado Springs, CO 80903-4035

Mailing Address3205 N Academy Blvd, Suite 130Colorado Springs, CO 80917-5101 · (719) 632-5700

Phone(719) 632-5700

Fax(719) 344-7828

Sole ProprietorNo

Enumeration DateDecember 20, 2006

Last NPPES UpdateApril 5, 2017

✔ NPI 1912061466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in CO · 63257

722 S WAHSATCH AVE, Colorado Springs, CO 80903

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Other Identifiers 2

Medicaid01771582CO

Medicare UPINCOA 101807CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary J Shaffer Np 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 80903 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

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

Most-billed visit code 99214

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 10

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

PEAK VISTA COMMUNITY HEALTH CENTERS

Clinic/Center (Federally Qualified Health Center (FQHC))