Adam Sheely, ACNP-BC, PMHNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN.0992752 Issued in CO

Practice address

825 S Broadway St
Boulder, CO 80305-5963

Phone

(720) 437-9488

NPI assigned

Aug 30, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

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.

• Zephyr Behavioral Health and Wellness LLC

  • Psychiatry Physician
  • Greenwood Village, CO
  • NPI 1386480226
  Medicare reassignment NPD
• One One Thousand LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Boulder, CO
  • NPI 1265216543
  NPD Authorized official
• Edwards Medical Provider Group

  • Multi-Specialty Clinic/Center
  • Edwards, CO
  • NPI 1619573904
  NPD (past)
• Every Body Health & Wellness, LLC.

  • Primary Care Clinic/Center
  • Northglenn, CO
  • NPI 1326641333
  NPD (past)

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642291200000",
    "number": "1689955049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 BEREA DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056535",
            "telephone_number": "240-459-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055963",
            "telephone_number": "720-437-9488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2806 N Speer Blvd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802114225",
            "country_code": "US",
            "telephone_number": "720-437-9488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEELY",
        "first_name": "ADAM",
        "credential": "ACNP-BC, PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2022-01-16",
        "certification_date": "2022-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R195325",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0992752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kat A. Shea, CMT, NMT, CHOM
• Matthew Patrick Shea, P.T.
• Whitney Shea, PTA
• Leslie Sheats, MSOT
• Sheela Mahnke MD LLC
• Alison Leslie Sheets
• Jonathan Sheets
• Alicia Sheflin Thompson
• Sheila Goetz, M.a., CCC & Associates, Inc.
• Sheila Klein LLC

• Nurse Practitioner in Boulder, CO
• Providers in Boulder, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2022; 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.