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

Shannon Radak

Individual provider Family Nurse Practitioner · NPI 1124410196

Shannon Radak is a Nurse Practitioner in Denver, Colorado. Qualified in 2014, 12 years ago. Practices with Craig Hospital, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
12
Licensed in
CO
In the registry since
2015
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Practice location Address checks out

777 Bannock St
Denver, CO 80204-4507
Phone: (303) 436-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0991287 (CO)

Record details

NPI number1124410196
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 26, 2015
Last updated in NPPESMarch 28, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Craig Hospital — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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