Active NPI
Shujun Chen, FNP
- Nurse Practitioner
- Cheyenne, WY
National Provider Identifier
1316397805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 55311
- Practice address
- 5050 Powderhouse Rd
Cheyenne, WY 82009-4800 - Phone
- (307) 634-1311
- Fax
- (307) 634-1271
- NPI assigned
- Jun 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60672147 | WA | |
| Nurse Practitioner | 363L00000X | 55311 | WY | Primary |
Addresses
Primary practice location
5050 Powderhouse Rd
Cheyenne, WY 82009-4800
Mailing address
5050 Powderhouse Rd
Cheyenne, WY 82009-4800
Phone (307) 634-1311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241209002958 | WY | Practitioner - Nurse Practitioner | 1254627300 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Poudre Valley Medical Group LLC
Practice addresses (Care Compare)
5050 Powderhouse Rd
Cheyenne, WY 82009-4800
Phone (307) 634-1311
Hospital & facility affiliations
- Eden Home Health
- Poudre Valley Hospital
- Cheyenne Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients |
Locations
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
5050 Powderhouse Rd
Cheyenne, WY 82009
Phone (307) 634-1311
3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319
Interoperability endpoints
- schen264714@direct.peacehealth.org
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 and National Provider Directory roles.
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Cheyenne, WY
- NPI 1497428338
-
- General Acute Care Hospital
- Cheyenne, WY
- NPI 1285621839
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1316397805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 POWDERHOUSE RD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094800",
"telephone_number": "307-634-1311",
"fax_number": "307-634-1271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 POWDERHOUSE RD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820094800",
"telephone_number": "307-634-1311",
"fax_number": "307-634-1271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "SHUJUN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60672147",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WY",
"license": "55311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.