Individual provider Active NPI

Shelby Rogers Dearman, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1285458497
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.1000326-NP Issued in CO
Practice address
12364 W Ken Caryl Cir Apt 101
Littleton, CO 80127-3151
Phone
(931) 307-3745
NPI assigned
Nov 13, 2024
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.1000326-NP CO Primary

Addresses

Primary practice location

12364 W Ken Caryl Cir Apt 101
Littleton, CO 80127-3151

Mailing address

12364 W Ken Caryl Cir Apt 101
Littleton, CO 80127-3151
Phone (931) 307-3745

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
I20250124000358 CO Practitioner - Nurse Practitioner 3971032624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Homedoc, PCGroup PAC ID 2961936927, 43 clinicians

Practice addresses (Care Compare)

2584 Reserve St
Erie, CO 80516-2505

8354 E Northfield Blvd
Suite 329
Denver, CO 80238-3131
Phone (720) 607-9207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.1000326-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Firstdoc PC CurrentSince Dec 7, 2024 Accepting new patients
Homedoc, PC Psychiatric/Mental Health CurrentSince Oct 20, 2024 Accepting new patients

Locations

1690 Meade St
Denver, CO 80204
Phone (303) 264-6854

8354 E Northfield Blvd
#329
Denver, CO 80238
Phone (720) 607-9207

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1285458497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12364 W KEN CARYL CIR APT 101",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273151",
            "telephone_number": "931-307-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12364 W KEN CARYL CIR APT 101",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273151",
            "telephone_number": "931-307-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARMAN",
        "first_name": "SHELBY",
        "middle_name": "ROGERS",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1000326-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.