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Active NPI 1902577604 Individual Practitioner Female Practitioner

Shannon Duffy , MMSC, PA-C

Physician Assistant • Boulder, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shannon Duffy, MMSC, PA-C is a certified Physician Assistant practicing in Boulder, CO. With approximately 4 years of clinical experience since graduating from Emory University School Of Medicine in 2022, Shannon Duffy delivers high-quality medical care to the local community at 2400 SPRUCE ST STE 101.

Shannon Duffy is affiliated with Rocky Mountain Dermatology, P.C. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2400 Spruce St Ste 101

Boulder, CO 803024716

Telephone 4043214600
Associated Practice Facility / Clinic
🏢 Soma Physical Therapy Facility NPI 1396801114

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boulder, CO

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -8.0 yrs vs City Avg
City Avg: 12.0 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
101 Specialists

Practicing in Boulder, CO (3810 Statewide)

Telehealth Adoption Rate
12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Duffy (4 Years) 4 Yrs
Boulder Specialty Average (12.0 Years) 12.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-08-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 11447

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.

Hospital & Practice Group Affiliations

Rocky Mountain Dermatology, P.c.

2400 Spruce St, Boulder, CO 803024716

Phone: 3034440833

Practice Associates & Co-Workers

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

8 Associated Practitioners
Rhea Douglas , PA

Physician Assistant - Medical

NPI 1023247210

Physician Assistant

Randal Antle , PA-C

Physician Assistant - Medical

NPI 1124262423

Physician Assistant (Certified)

Dr. Carl Washington , MD

Dermatology - Procedural Dermatology

NPI 1255345419

Doctor of Medicine (M.D.)

NPI 1427166933

Doctor of Medicine (M.D.)

Dylan Hassett , PA-C

Physician Assistant

NPI 1801639513

Physician Assistant (Certified)

NPI 1801904354

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 13, 2025

Registered at 2400 SPRUCE ST STE 101, BOULDER, CO 803024716 (Tel: 4043214600)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2025

Physician Assistant (License #11447 in GA)

📍
Updated Practice Location June 29, 2023

Registered at 1951 CLAIRMONT RD, DECATUR, GA 300333415 (Tel: 4043214600)

👤
Provider Name / Credentials Updated June 29, 2023

Recorded as SHANNON DUFFY, MMSC, PA-C

NPI Profile Active September 22, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2021

Registered at 1462 CLIFTON RD NE STE 280, ATLANTA, GA 303221063 (Tel: 4047277825)

📍
Updated Business Mailing Address September 22, 2021

Registered at 2532 N DECATUR RD APT 1408, DECATUR, GA 300336179 (Tel: 3037043534)

👤
Provider Name / Credentials Updated September 22, 2021

Recorded as SHANNON DUFFY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 22, 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: 1902577604
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2021
Last Update: August 13, 2025
Sole Proprietor: No

Mailing Address

2532 N Decatur Rd Apt 1408

Decatur, GA 300336179

Phone: 3037043534

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.