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Active NPI 1285391821 Individual Practitioner Female Practitioner

Shannon Johnstad , PA

Physician Assistant • Thornton, CO

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Shannon Johnstad, PA is a registered Physician Assistant practitioner in Thornton, CO. With approximately 5 years of clinical practice since completing medical education in 2021, Shannon Johnstad provides healthcare services at the registered practice location at 2501 E 104TH AVE.

Shannon Johnstad is affiliated with Ch Mssp Services Co Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include orion, per square centimeter, complete ft, per square centimeter, application of skin substitute graft to wound of trunk, arms, or legs. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2501 E 104th Ave

Thornton, CO 802334401

Telephone 3032554100
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Thornton, CO

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -6.7 yrs vs City Avg
City Avg: 11.7 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
61 Specialists

Practicing in Thornton, CO (3810 Statewide)

Telehealth Adoption Rate
11.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnstad (5 Years) 5 Yrs
Thornton Specialty Average (11.7 Years) 11.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
Q4276 Orion, per square centimeter
10,728 19 $1686.20 $1473.25
Q4271 Complete ft, per square centimeter
1,422 11 $1950.00 $1721.02
15272 Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less
113 16 $45.40 $20.82
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less
90 17 $260.03 $121.87
0598T Fluorescence wound imaging for bacteria, first anatomic site
79 15 $264.00 $132.27
15274 Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less
51 12 $140.00 $68.80
15273 Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less
41 12 $525.02 $261.88
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
32 17 $200.00 $106.12
11042 Removal of skin and tissue, 20.0 sq cm or less
13 12 $250.00 $110.83

Medical Specialties & State Licenses

CMS Verified: 2022-01-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO 1192657

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License CO PA.0007121

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Hospital & Practice Group Affiliations

Ch Mssp Services Co Llc

5000 E Arapahoe Rd, Centennial, CO 801222302

Phone: 3379919276

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Caroline Baumunk

Speech-Language Pathologist

NPI 1043711260
Sarah Petersen

Occupational Therapist

NPI 1205337425
Annarose Zelano , COTA

Occupational Therapy Assistant

NPI 1417577628

Certified Occupational Therapy Assistant

Haley Bosse

Physical Therapy Assistant

NPI 1669093886
Nicole King , SLP

Speech-Language Pathologist

NPI 1700071826

Speech-Language Pathologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address December 30, 2021

Registered at 2200 MARKET ST, APT 415, DENVER, CO 802052064 (Tel: 2185900246)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2021

Physician Assistant (License #PA.0007121 in CO)

NPI Profile Active November 18, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location November 18, 2021

Registered at 2501 E 104TH AVE, THORNTON, CO 802334401 (Tel: 3032554100)

📍
Updated Business Mailing Address November 18, 2021

Registered at 4203 E COUNTY ROAD C, SUPERIOR, WI 548808020 (Tel: 2185900246)

👤
Provider Name / Credentials Updated November 18, 2021

Recorded as SHANNON JOHNSTAD, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration November 18, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285391821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2021
Last Update: January 17, 2022
Sole Proprietor: No

Mailing Address

2200 Market St, Apt 415

Denver, CO 802052064

Phone: 2185900246

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.