Active NPI
Rachael M Shelly, NP
- Pediatric Nurse Practitioner
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- C-APN.0105810-C-NP
- Practice address
- 4125 Briargate Pkwy
Colorado Springs, CO 80920-7804 - Phone
- (719) 305-9070
- NPI assigned
- Jan 30, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11038671 | FL | |
| Family Nurse Practitioner | 363LF0000X | GAA-NP004413 | GA | |
| Pediatric Nurse Practitioner | 363LP0200X | C-APN.0105810-C-NP | CO | Primary |
| Family Nurse Practitioner | 363LF0000X | 5024013 | NC |
Addresses
Primary practice location
4125 Briargate Pkwy
Colorado Springs, CO 80920-7804
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Colorado School of Medicine, Denver, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12280 Lake Underhill Rd
Orlando, FL 32825-5009
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11038671 | FL | MD | Family Nurse Practitioner |
| GAA-NP004413 | GA | MD | Family Nurse Practitioner |
| 5024013 | NC | MD | Family Nurse Practitioner |
| C-APN.0105810-C-NP | CO | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Family | Current | Accepting new patients |
| Mountain View Pain Specialists | Current | Accepting new patients |
Locations
15901 E Briarwood Cir
Unit 150
Aurora, CO 80016
Phone (303) 645-4363
3204 N Academy Blvd
Ste 300
Colorado Springs, CO 80917
Phone (719) 323-6224
10807 New Allegiance Dr
Ste 160
Colorado Springs, CO 80921
Phone (719) 249-3547
5445 Dtc Pkwy
Ste 1130
Greenwood Village, CO 80111
12280 Lake Underhill Rd
Orlando, FL 32825
Phone (407) 273-3284
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Lone Tree, CO
- NPI 1912403544
-
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1427810886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4125 BRIARGATE PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207804",
"telephone_number": "719-305-9070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELLY",
"first_name": "RACHAEL",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-30",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11038671",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GAA-NP004413",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CO",
"license": "C-APN.0105810-C-NP",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5024013",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.