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

Shannon Barbara Ross, PA

Individual provider Physician Assistant · NPI 1588621445

Shannon Barbara Ross, PA is a Physician Assistant in Boulder, Colorado. Qualified in 2003, 23 years ago. Practices with K2 Dermatology LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
23
Licensed in
CO
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2525 13th St
Boulder, CO 80304-4104
Phone: (303) 449-6050
Fax: (720) 565-4132
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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 PA.0002309 (CO)

Record details

NPI number1588621445
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice K2 Dermatology Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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