SHANNON BALLARD PA-C
NPI 1962723130
Physician Assistant - Medical in Newcastle, WY

Active since June 22, 2010PECOS EnrolledAccepts Medicare Assignment
87.88/100
CMS Quality Rating
1124 WASHINGTON BLVD, NEWCASTLE, WY 82701(307) 746-3700 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Ballard Pa-c NPPES

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

SHANNON BALLARD PA-C (NPI 1962723130) is an individual medical provider in Newcastle, Wyoming and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Weston County Health Services, and maintains a secondary practice location in Lusk.

NPPES Registry Identity

NPI1962723130
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHANNON BALLARDCredential: PA-C
Location Address1124 WASHINGTON BLVDNewcastle, WY 82701-2972
Mailing Address2801 Purcell StBrighton, CO 80601-3551 · (303) 659-9700
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 22, 2010
Last NPPES UpdateDecember 31, 2025
NPPES CertifiedDecember 31, 2025
NPI 1962723130 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
1124 WASHINGTON BLVD, Newcastle, WY 82701

Secondary Practice Location 1

Location 1921 Ballancee AveLusk, WY 82225-5245 · Phone (720) 316-6903

Other Identifiers 1

Other294465YN7QCO · Medicare Ptan

Accepted 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 Ballard Pa-c 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 ID4486895422
PECOS Enrollment IDI20190614001541
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Weston County Health Services

Critical Access Hospitals · Newcastle, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531303
Location1124 Washington BoulevardNewcastle, WY 82701 · Weston County
Emergency services

Niobrara County Hospital District

Critical Access Hospitals · Lusk, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531314
Location921 South Ballancee AvenueLusk, WY 82225 · Niobrara County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost59.6

Referred Medical Equipment & Supplies CMS DME claims

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

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
2 suppliers17 claims17 services$83.38 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 13

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

Surgery
1124 WASHINGTON BLVD
NEWCASTLE, WY 82701
Occupational Therapist
1124 WASHINGTON BLVD
NEWCASTLE, WY 82701
Hospitalist
1124 WASHINGTON BLVD, STE 1600
NEWCASTLE, WY 82701
Physical Therapist
1124 WASHINGTON BLVD
NEWCASTLE, WY 82701
Clinic/Center (VA)
1124 WASHINGTON BLVD
NEWCASTLE, WY 82701
Occupational Therapist
1124 WASHINGTON BLVD
NEWCASTLE, WY 82701
Pharmacist (Ambulatory Care)
1124 WASHINGTON BLVD
NEWCASTLE, WY 82701
Pharmacist
1124 WASHINGTON BLVD
NEWCASTLE, WY 82701

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 Ballard's NPI number?

The NPI number for Shannon Ballard is 1962723130. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Shannon Ballard located?

Shannon Ballard practices at 1124 Washington Blvd, Newcastle, WY 82701. The listed phone number is (307) 746-3700.

What is Shannon Ballard's specialty?

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

Is Shannon Ballard enrolled in Medicare?

Yes. Shannon Ballard 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 Ballard accept?

Health plans from Blue Cross Blue Shield of Wyoming, Medica and UnitedHealthcare list Shannon Ballard 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.

Is Shannon Ballard affiliated with any hospitals?

According to CMS data, Shannon Ballard is affiliated with Weston County Health Services and Niobrara County Hospital District.

When was this NPI record last updated?

The NPPES record for Shannon Ballard was last updated on December 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.