Individual provider Active NPI

Shana Metzger, DNP

  • Nurse Practitioner
National Provider Identifier
1336531854
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R201069 Issued in MD
Practice address
18 MDG
Unit 5142
Apo, AP 96368-5142
Phone
(315) 646-7698
NPI assigned
Feb 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R201069 MD
Nurse Practitioner 363L00000X R201069 MD Primary

Addresses

Primary practice location

18 MDG
Unit 5142
Apo, AP 96368-5142

Mailing address

PSC 567 Box 7070
Fpo, AP 96384-0071

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
I20260223000728 CO Practitioner - Nurse Practitioner 2860713583 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haxtun Hospital DistrictGroup PAC ID 5496664567, shared by 3 NPIs, 8 clinicians

Practice addresses (Care Compare)

235 W Fletcher St
Haxtun, CO 80731-2737

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R201069MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Haxtun Hospital District CurrentSince Dec 23, 2025 Accepting new patients
Haxtun Hospital District CurrentSince Dec 23, 2025 Accepting new patients

Locations

235 W Fletcher St
Haxtun, CO 80731
Phone (970) 351-0999

Interoperability endpoints

  • Direct secure messaging: shana.metzger.1@14566.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1336531854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 567 BOX 7070",
            "city": "FPO",
            "state": "AP",
            "postal_code": "963840071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "18 MDG",
            "address_2": "UNIT 5142",
            "city": "APO",
            "state": "AP",
            "postal_code": "963685142",
            "telephone_number": "315-646-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER",
        "first_name": "SHANA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R201069",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R201069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.