Individual provider Active NPI

John Shankland, FNP-C

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1063199032
Registry record updated Feb 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0998822-NP Issued in CO
Practice address
215 S Parkside Dr Ste 215
Colorado Springs, CO 80910-3131
Phone
(303) 338-4545
NPI assigned
Jun 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0998822-NP CO Primary

Addresses

Primary practice location

215 S Parkside Dr Ste 215
Colorado Springs, CO 80910-3131

Mailing address

10350 E Dakota Ave
Denver, CO 80247-1314

Other practice location 1

402 N. Tejon St.
St. 200
Colorado Springs, CO 80903
Phone (719) 633-3850

Other identifiers 1

IdentifierTypeStateIssuer
9000222904MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260217002104 CO Practitioner - Nurse Practitioner 7416437629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Permanente Medical Group PCGroup PAC ID 1254238454, 1,325 clinicians

Practice addresses (Care Compare)

215 S Parkside Dr
215 Kaiser Permanente Parkside Medical
Colorado Springs, CO 80910-3131
Phone (303) 338-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0998822-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Permanente Medical Group, P.C. CurrentSince Feb 16, 2026 Accepting new patients
Iron Horse Pediatrics CurrentSince Jul 2, 2023 Accepting new patients
Iron Horse Pediatrics PastSince Jul 2, 2023 Accepting new patients

Locations

402 N Tejon St
Ste 200
Colorado Springs, CO 80903
Phone (719) 633-3850

215 S Parkside Dr
Ste 215
Colorado Springs, CO 80910
Phone (303) 404-4119

10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350

Interoperability endpoints

  • Direct secure messaging: john.shankland.1@3715.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3715/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770508800000",
    "number": "1063199032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 E DAKOTA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802471314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S PARKSIDE DR STE 215",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103131",
            "telephone_number": "303-338-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 N. Tejon St.",
            "address_2": "St. 200",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80903",
            "country_code": "US",
            "telephone_number": "719-633-3850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANKLAND",
        "first_name": "JOHN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-30",
        "last_updated": "2026-02-08",
        "certification_date": "2026-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998822-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000222904",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "215 S Parkside Dr Ste 215",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809103131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.