Krystal Marie Shotliff, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0998109 Issued in CO

Practice address

201 Lamkin St. Unit 101
Pueblo, CO 81003-8100

Phone

(719) 543-6633

Fax

(719) 543-6655

NPI assigned

Oct 19, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healogics Specialty Physicians of Colorado-Professional LLCGroup PAC ID 4183941834, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary-Corwin Hospital Hospital, Pueblo, CO, CCN 060012

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healogics Specialty Physicians of Colorado-Professional, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Parker, CO
  • NPI 1114331006

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Elevate Healthcare LLC

  • Methadone Clinic
  • Pueblo, CO
  • NPI 1801595194
  NPD
• Family Care Specialists, Inc.

  • Family Medicine Physician
  • Pueblo, CO
  • NPI 1992878664
  NPD
• Healogics Specialty Physicians of Colorado-Professional, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lakewood, CO
  • NPI 1114559572
  NPD
• RFH Colorado, LLC

  • Rheumatology Physician
  • Thornton, CO
  • NPI 1447081229
  NPD
• Wtfootcare, Professional Physician Assistant Corporation

  • Physician Assistant
  • Rancho Cucamonga, CA
  • NPI 1841818747
  NPD
• Ascent Wound Care LLC

  • Internal Medicine Physician
  • Highlands Ranch, CO
  • NPI 1306562830
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Pueblo, CO
  • NPI 1306857974
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Pueblo, CO
  • NPI 1841830452
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • Nursing Facility/Intermediate Care Facility
  • Pueblo, CO
  • NPI 1942391487

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1063138162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N 3RD ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123270",
            "telephone_number": "719-792-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LAMKIN ST. UNIT 101",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810038100",
            "telephone_number": "719-543-6633",
            "fax_number": "719-543-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2608 Pemberly Ave",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801267568",
            "country_code": "US",
            "telephone_number": "719-755-0446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3245 E US Highway 50 Unit E",
            "address_purpose": "LOCATION",
            "city": "Canon City",
            "state": "CO",
            "postal_code": "812129343",
            "country_code": "US",
            "telephone_number": "719-285-2888",
            "fax_number": "719-285-2889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOTLIFF",
        "first_name": "KRYSTAL",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0998109",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0998109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nancy.moya@fcspueblo.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "secure",
            "address_1": "201 Lamkin St. Unit 101",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810038100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melanie Sherlock, PHARMD
• Rina K. Shinn, M.D.
• Cyndra A Shisler-Santistevan, MSW
• Marissa Elizabeth Shisler, FNP-C
• Melissa Shoe
• Faith L. Show, MA, CCC-SLP
• Aakriti Shrestha-Schumann, MD
• Anak K Shrestha, M.D.
• Nancy J. Shultz
• Aaron M. Shupp, M.D.

• Family Nurse Practitioner in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.