Ty Shettron, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0990954 Issued in CO

Practice address

1144 Lake Gulch Rd
Castle Rock, CO 80104-9743

Phone

(303) 328-1838

NPI assigned

Nov 1, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO, NM, GA, PA, VA5 enrollments

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 5

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• 3 Cord Health, LLC

  • Nurse Practitioner
  • Castle Rock, CO
  • NPI 1174482327

  CO, Nurse Practitioner

  Medicare reassignment NPD Authorized official
• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1740622133

  CO

  Medicare reassignment NPD
• Plaid Eagle Medical PLLC

  • Family Medicine Physician
  • Monroeville, PA
  • NPI 1588417117

  CO, PA, VA

  Medicare reassignment NPD
• Spencer J Hardenbrook MD PC

  • Family Medicine Physician
  • Draper, UT
  • NPI 1073909594

  NM

  Medicare reassignment NPD
• Heartlight Family Clinic, LLC

  • Primary Care Clinic/Center
  • Castle Rock, CO
  • NPI 1639529738

  CO

  Medicare reassignment
• Family Medicine PC

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1083802029
  NPD
• Southeast Colorado Hospital District Ambulance

  • Ambulance
  • Springfield, CO
  • NPI 1316167489
  NPD (past)

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1659709574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 LAKE GULCH RD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801049743",
            "telephone_number": "303-328-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 LAKE GULCH RD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801049743",
            "telephone_number": "303-328-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTRON",
        "first_name": "TY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-01",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001776",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "70369",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP032245",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024193274",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0990954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89279077",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hope Shepherd
• Sheridan Childrens Healthcare Services of Colorado PC
• Brandon Weil Sherrod, CST, SA
• Kelley Sherwood, RN
• Megan Sherwood, M.S., CCC-SLP
• Kristin Marie Shields, MD
• Greg Shim, L.AC., DIPL.O.M.
• Samera Shim, LE
• Shine Counseling, LLC
• Christy Short, PMHNP-BC, APRN, MSN

• All providers in Castle Rock, CO
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.