Individual provider Active NPI

Vickie Lynne Shelquist, NP-C, FNP

  • Family Nurse Practitioner
  • Silver City, NM
National Provider Identifier
1740444934
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-03264 Issued in NM
Practice address
138 Wendy Rd
Silver City, NM 88061-9789
Phone
(303) 915-7712
Fax
(575) 342-5010
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-03264 NM Primary

Addresses

Primary practice location

138 Wendy Rd
Silver City, NM 88061-9789

Mailing address

2340 Hwy 180E
PMB 239
Silver City, NM 88061-8806
Phone (303) 915-7712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20170816003669 NM Practitioner - Nurse Practitioner 2769702984 Practice locations: Silver City, NM

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vshelquist@shc.gwaydirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1740444934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 HWY 180E",
            "address_2": "PMB 239",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880618806",
            "telephone_number": "303-915-7712",
            "fax_number": "575-342-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 WENDY RD",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880619789",
            "telephone_number": "303-915-7712",
            "fax_number": "575-342-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELQUIST",
        "first_name": "VICKIE",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "NP-C, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.