Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Shelly Rae Shadrick, PAC

Individual provider Physician Assistant · NPI 1215919907

MS. Shelly Rae Shadrick, PAC is a Physician Assistant in Loveland, Colorado. Qualified in 1997, 29 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Iowa.

Years since qualifying
29
Licensed in
CO, IA
In the registry since
2005
Specialties on file
4
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2500 Rocky Mountain Ave Ste 2200
Loveland, CO 80538-9004
Phone: (970) 669-9100
Fax: (970) 669-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 976 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 001565 (IA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 001565 (IA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 001565 (IA)

Record details

NPI number1215919907
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 17, 2005
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

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