Individual provider Active NPI

Sheila Repka, NP

  • Family Nurse Practitioner
  • Canon City, CO
National Provider Identifier
1497323620
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0996576-NP Issued in CO
Practice address
730 Macon Ave
Canon City, CO 81212-3314
Phone
(719) 275-1618
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0996576-NP CO Primary

Addresses

Primary practice location

730 Macon Ave
Canon City, CO 81212-3314

Mailing address

243 Glenmoor Rd
Canon City, CO 81212-2715

Other practice location 1

44 E Spaulding Ave
Pueblo West, CO 81007-1668
Phone (719) 281-1605

Other identifiers 3

IdentifierTypeStateIssuer
APN.0996576-NPOtherCOSTATE LICENSE
RXN.0105653-NPOtherCOSTATE LICENSE
F06210043OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD

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
I20211201000975 CO Practitioner - Nurse Practitioner 0345630687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

3245 E US Hwy 50 Unit E
Stmcc Urgent
Canon City, CO 81212-9343
Phone (719) 285-2888

Hospital & facility affiliations

  • Frontier Home Health LLC Home health agency, Pueblo, CO, CCN 067501
  • St Thomas More Hospital Hospital, Canon City, CO, CCN 061344
  • St Mary-Corwin Hospital Hospital, Pueblo, CO, CCN 060012

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0996576-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Oct 1, 2022 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Canon Professional Wellness Clinic LLC Family CurrentSince Mar 12, 2023 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Oct 1, 2022 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

3245 E US Highway 50
Unit E
Canon City, CO 81212
Phone (719) 285-2700

730 Macon Ave
Canon City, CO 81212
Phone (719) 275-1618

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 5

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 6

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": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1497323620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 GLENMOOR RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MACON AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123314",
            "telephone_number": "719-275-1618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 E Spaulding Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo West",
            "state": "CO",
            "postal_code": "810071668",
            "country_code": "US",
            "telephone_number": "719-281-1605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REPKA",
        "first_name": "SHEILA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0996576-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APN.0996576-NP",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RXN.0105653-NP",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD",
            "identifier": "F06210043",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

Verify at the official NPI Registry.