Individual provider Active NPI

Stacy Shomo, APN

  • Nurse Practitioner
  • Grand Junction, CO
National Provider Identifier
1245849637
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0995738-NP Issued in CO
Practice address
2351 G Rd
Grand Junction, CO 81505-9641
Phone
(970) 242-0920
NPI assigned
Jul 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0995738-NP CO Primary

Addresses

Primary practice location

2351 G Rd
Grand Junction, CO 81505-9641

Mailing address

2351 G Rd
Grand Junction, CO 81505-9641
Phone (970) 242-0920

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
I20201228000340 CO Practitioner - Nurse Practitioner 5496167082 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloom Colorado LLCGroup PAC ID 2860879368, 19 clinicians

Practice addresses (Care Compare)

995 Independent Ave
Grand Junction, CO 81505-7130
Phone (970) 609-2001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Valley Hospital Association CurrentSince Feb 2, 2025 Accepting new patients
Cedar Point Health LLC CurrentSince Oct 1, 2021 Accepting new patients
Bloom Colorado LLC CurrentSince Dec 1, 2022 Accepting new patients
Lower Valley Hospital Association CurrentSince Oct 16, 2025 Accepting new patients
Lower Valley Hospital Association Current Accepting new patients
Bloom Colorado LLC CurrentSince Dec 1, 2022 Accepting new patients
Lower Valley Hospital Association CurrentSince Feb 2, 2025 Accepting new patients
Community Medical Group, LLC Past Accepting new patients
Lower Valley Hospital Association Past Accepting new patients

Locations

7130 N Academy Blvd
Colorado Springs, CO 80920
Phone (719) 762-1510

401 Kokopelli Blvd
Ste 1
Fruita, CO 81521
Phone (970) 858-2705

300 W Ottley Ave
#W
Fruita, CO 81521

300 W Ottley Ave
Fruita, CO 81521
Phone (970) 858-3900

2454 Highway 6 and 50
Ste 104
Grand Junction, CO 81505
Phone (970) 644-9900

995 Independent Ave
Grand Junction, CO 81505
Phone (970) 609-2001

2237 Redlands Pkwy
Grand Junction, CO 81507
Phone (970) 858-9894

569 32 Rd
Ste 12
Grand Junction, CO 81504
Phone (970) 523-3544

3330 S Rio Grande Ave
Montrose, CO 81401
Phone (970) 240-7314

300 S Nevada Ave
Montrose, CO 81401
Phone (970) 252-1020

2303 S Townsend Ave
Ste A
Montrose, CO 81401
Phone (970) 240-6136

Interoperability endpoints

  • Direct secure messaging: sshomo@montrosemedicine.gwaydirect.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1245849637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 G RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815059641",
            "telephone_number": "970-242-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 G RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815059641",
            "telephone_number": "970-242-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOMO",
        "first_name": "STACY",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0995738-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.