Individual provider Active NPI

Shannon B Lansford, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1639802143
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.1000223-NP Issued in CO
Practice address
1923 W Colorado Ave
Colorado Springs, CO 80904-3838
Phone
(303) 600-8563
Fax
(877) 805-7372
NPI assigned
Jul 3, 2022
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.1000223-NP CO Primary
Registered Nurse 163W00000X RN.1653994 CO

Addresses

Primary practice location

1923 W Colorado Ave
Colorado Springs, CO 80904-3838

Mailing address

8275 Diorite Dr
Colorado Springs, CO 80938-9609
Phone (360) 990-5604

Other practice location 1

450 W Jefferson Ave
Englewood, CO 80110-3536
Phone (303) 600-8563

Other practice location 2

1305 Fortino Blvd Ste A
Pueblo, CO 81008-2032
Phone (303) 600-8563

Other identifiers 1

IdentifierTypeStateIssuer
9000237470MedicaidCO

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
I20260108004409 CO Practitioner - Nurse Practitioner 7719471556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elevate Mental Wellness LLCGroup PAC ID 5193201184, 5 clinicians

Practice addresses (Care Compare)

450 W Jefferson Ave
Englewood, CO 80110-3536
Phone (303) 600-8563

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.1653994COMDRegistered Nurse
APN.1000223-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Mental Wellness, LLC Psychiatric/Mental Health CurrentSince Mar 18, 2025 Accepting new patients
Elevate Mental Wellness, LLC Psychiatric/Mental Health CurrentSince Dec 12, 2025 Accepting new patients
Care Group of Colorado Registered Nurse Current Accepting new patients
Springbok Health Inc. Psychiatric/Mental Health Past Accepting new patients

Locations

1923 W Colorado Ave
Colorado Springs, CO 80904
Phone (303) 600-8563

450 W Jefferson Ave
Englewood, CO 80110
Phone (303) 600-8563

Interoperability endpoints

  • Direct secure messaging: springbokhealth.shannonlansford@152930.advancedmd-direct.com

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": "1656806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1639802143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8275 DIORITE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809389609",
            "telephone_number": "360-990-5604",
            "fax_number": "877-805-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 W COLORADO AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043838",
            "telephone_number": "303-600-8563",
            "fax_number": "877-805-7372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 W Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801103536",
            "country_code": "US",
            "telephone_number": "303-600-8563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Fortino Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810082032",
            "country_code": "US",
            "telephone_number": "303-600-8563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANSFORD",
        "first_name": "SHANNON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-03",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1000223-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1653994",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000237470",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.