Willa Rose Shields, APN, FMHNP-BC

Key facts

NPI

1609005156

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner 363LP0808X

License

C-APN.0102212-C-NP (CO)

Practice address

300 E Denver Ave
Gunnison, CO 81230-2210

Phone

(970) 648-7128

Fax

(833) 324-1646

NPI assigned

Jul 6, 2009

Sex

Female

Sole proprietor

Yes

Organizations & group practices 7

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.

• Gunnison Valley Hospital Critical Access Hospital · Gunnison, CO · NPI 1932109048
  Medicare reassignment Care Compare group NPD CO
• Gunnison Valley Hospital Ambulance · Gunnison, CO · NPI 1336684315
  Care Compare group
• Gunnison Valley Hospital Medicare Defined Swing Bed Hospital Unit · Gunnison, CO · NPI 1689023871
  Care Compare group
• Gunnison Valley Hospital Rural Health Clinic/Center · Gunnison, CO · NPI 1861014284
  Care Compare group
• Gunnison Valley Hospital Urgent Care Clinic/Center · Gunnison, CO · NPI 1477361228
  NPD
• Gunnison Valley Hospital Primary Care Clinic/Center · Gunnison, CO · NPI 1578997284
  NPD
• Gunnison Valley Hospital Mental Health Clinic/Center (Including Community Mental Health Center) · Gunnison, CO · NPI 1881275915
  NPD

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gunnison Valley Hospital (81 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: willa.shields.1@11629.direct.athenahealth.com
• Direct secure messaging: wshields635620@direct.ochin.org
• Direct secure messaging: shields.willa.p1@direct.gefcc.nextgenshare.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 13, 2025.

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1609005156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 FENNWOOD DR",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912437",
            "telephone_number": "870-648-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E DENVER AVE",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302210",
            "telephone_number": "970-648-7128",
            "fax_number": "833-324-1646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 N Taylor St",
            "address_purpose": "LOCATION",
            "city": "Gunnison",
            "state": "CO",
            "postal_code": "812302296",
            "country_code": "US",
            "telephone_number": "970-641-1456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "WILLA",
        "middle_name": "ROSE",
        "credential": "APN, FMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "204380",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A03301",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0102212-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Gunnison, CO · Psychiatric/Mental Health Nurse Practitioner in Colorado