Individual provider Active NPI

Willa Rose Shields, APN, FMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gunnison, CO
National Provider Identifier
1609005156
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
C-APN.0102212-C-NP Issued in CO
Practice address
300 E Denver Ave
Gunnison, CO 81230-2210
Phone
(970) 648-7128
Fax
(833) 324-1646
NPI assigned
Jul 6, 2009
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 204380 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X A03301 AR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0102212-C-NP CO Primary

Addresses

Primary practice location

300 E Denver Ave
Gunnison, CO 81230-2210

Mailing address

5333 Fennwood Dr
Zachary, LA 70791-2437
Phone (870) 648-6644

Other practice location 1

711 N Taylor St
Gunnison, CO 81230-2296
Phone (970) 641-1456

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
I20240806001112 CO Practitioner - Nurse Practitioner 9537206297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gunnison Valley HospitalGroup PAC ID 8426040486, 81 clinicians

Practice addresses (Care Compare)

300 E Denver Ave
Gunnison Valley Behavioral Health
Gunnison, CO 81230-2210
Phone (970) 648-7128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A03301ARMDPsychiatric/Mental Health Nurse Practitioner
204380LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gunnison Valley Hospital CurrentSince Jul 29, 2024 Accepting new patients
Gunnison Valley Hospital Current Accepting new patients
Gunnison Valley Hospital CurrentSince Jul 29, 2024 Accepting new patients
Gunnison Valley Hospital CurrentSince Dec 1, 2025 Accepting new patients

Locations

300 E Denver Ave
Gunnison, CO 81230
Phone (970) 641-1456

707 N Iowa St
Gunnison, CO 81230
Phone (970) 641-1771

711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456

Interoperability endpoints

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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": []
}

Other providers in Gunnison, CO

Sources for this page

Verify at the official NPI Registry.