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

Individual provider Medical Physician Assistant · NPI 1285391821

Shannon Johnstad, PA is a Physician Assistant in Thornton, Colorado. Qualified in 2021, 5 years ago. Practices with Ch Mssp Services Co LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
5
Licensed in
CO
In the registry since
2021
Specialties on file
3
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

2501 E 104th Ave
Thornton, CO 80233-4401
Phone: (303) 255-4100
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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 1192657 (CO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA.0007121 (CO)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1285391821
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 18, 2021
Last updated in NPPESJanuary 17, 2022
Certification dateJanuary 17, 2022
Mailing address2200 Market St, Apt 415, Denver, CO 80205-2064

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ch Mssp Services Co Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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