Individual provider Active NPI

Shannon Marie Stone, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1508554445
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0996131 Issued in CO
Practice address
4729 Opus Dr
Colorado Springs, CO 80906-8694
Phone
(719) 289-3173
Fax
(866) 718-1677
NPI assigned
Apr 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0996131 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0996131 CO Primary

Addresses

Primary practice location

4729 Opus Dr
Colorado Springs, CO 80906-8694

Mailing address

825 Wheatglen CT
Colorado Springs, CO 80906-7652
Phone (720) 724-1340

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
I20231205002280 CO Practitioner - Nurse Practitioner 1759730542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

2320 W Colorado Ave
Suite 118
Colorado Springs, CO 80904-3354
Phone (719) 581-7110

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

Merit-based Incentive Payment System (MIPS)

Final score
81.1 of 100Reported as group
Quality
78.73
Promoting interoperability
68
Improvement activities
40
Cost
51.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0996131COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Jun 20, 2024 Accepting new patients
Psych NP PLLC Psychiatric/Mental Health CurrentSince Jun 8, 2024 Accepting new patients
Psych NP PLLC Psychiatric/Mental Health CurrentSince Feb 22, 2024 Accepting new patients

Locations

2320 W Colorado Ave
Ste 118
Colorado Springs, CO 80904
Phone (719) 581-7110

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

4 W Dry Creek Cir
Ste 100
Littleton, CO 80120
Phone (720) 443-1527

Interoperability endpoints

  • Direct secure messaging: shannon.stone.1@24259.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.

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1508554445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WHEATGLEN CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067652",
            "telephone_number": "720-724-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 OPUS DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809068694",
            "telephone_number": "719-289-3173",
            "fax_number": "866-718-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "0996131",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0996131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.