Shannon Horn, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Wheatridge, CO
NPI 1225629470 · NPPES record last updated Jun 20, 2022
Key facts
- NPI
- 1225629470
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN.0995567 (CO)
- Practice address
- 10900 W 44TH St. Unit 200
Wheatridge, CO 80033 - Phone
- (303) 993-1330
- NPI assigned
- Jan 31, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physician Housecalls LLC
Practice addresses (Care Compare)
12600 W Colfax Ave
Suite B200
Lakewood, CO 80215-3736
Phone (720) 923-1250
Hospital & facility affiliations
- Bloom Hospice
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210301001070 | CO | Practitioner - Nurse Practitioner | 0244646149 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ANP.0995567-NP | CO | MD | Geriatric Medicine (Internal Medicine) Physician |
| APN.0995567 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Housecalls LLC | Current |
Accepting new patients |
Locations
12600 W Colfax Ave
Ste B200
Lakewood, CO 80215
Phone (303) 459-4000
10900 W 44th Ave
Ste 201
Wheat Ridge, CO 80033
10900 W 44th Ave
Unit 200
Wheat Ridge, CO 80033
Phone (303) 379-9371
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CICGBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | ANP.0995567-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | APN.0995567 | CO | Yes |
Addresses
Primary practice location
10900 W 44TH St. Unit 200
Wheatridge, CO 80033
Mailing address
10900 W 44TH St. Unit 200
Wheatridge, CO 80033
Other providers in Wheatridge, CO
- A Caring Heart LLC
- Rian M Bovard-Johns
- D Malcolm Strange DDS PC
- Kaiser Foundation Health Plan of Co
- Juanita Dolores Lopez
- Promilla Mehra
- Monarch Recovery Services, LLC
- Dennis William Ortega I
All providers in Wheatridge, CO · Family Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.