Sheila Marie McCollam, FNP - BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0991742 Issued in CO

Practice address

401 Mason CT
Suite 101
Fort Collins, CO 80524

Phone

(970) 829-0077

Fax

(844) 726-8896

NPI assigned

May 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Sheila Christenson Kupersmith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2020 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Cloud Medical LLC

  • Family Medicine Physician
  • Longmont, CO
  • NPI 1679927065
  NPD (past)
• Cloud Medical LLC

  • Family Medicine Physician
  • Longmont, CO
  • NPI 1902430945
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1164480281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 BEAMREACH PL",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805246743",
            "telephone_number": "970-682-0465",
            "fax_number": "844-726-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MASON CT",
            "address_2": "SUITE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "970-829-0077",
            "fax_number": "844-726-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLAM",
        "first_name": "SHEILA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP - BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2025-08-11",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0991742",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "937",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN0991742-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "KUPERSMITH",
            "middle_name": "CHRISTENSON",
            "prefix": "MRS.",
            "credential": "FNP - BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca McClanahan, CMT
• Ewing R McClelland, O.D.
• Beth McClenathan, RN
• Carley McClure, LPC, MS
• Paul McClure, MS
• Amber Shields McCollum
• Vennessa McConkey, FDNP, HHP
• Kayla Rose McConnaha
• Marcia McConnell Ranch, L.C.S.W.
• Jazmin Gomez McConnell

• Family Nurse Practitioner in Fort Collins, CO
• Providers in Fort Collins, 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 11, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.