Individual provider Active NPI

Shaylee Alexandria Rowe

  • Family Nurse Practitioner
  • Centennial, CO
National Provider Identifier
1790341196
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
118681 Issued in OK
Practice address
7307 S Revere Pkwy Ste 201
Centennial, CO 80112-3931
Phone
(720) 456-3989
NPI assigned
May 13, 2019
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X C-APN.0004222- CO
Family Nurse Practitioner 363LF0000X 118681 OK Primary
Registered Nurse 163W00000X 118681 OK

Addresses

Primary practice location

7307 S Revere Pkwy Ste 201
Centennial, CO 80112-3931

Mailing address

6912 S Quentin St Ste 50
Centennial, CO 80112-4531

Other practice location 1

2270 Garden Of The Gods Rd Ste 103
Colorado Springs, CO 80907-9440
Phone (720) 456-3989

Other practice location 2

4150 S Harvard Ave Ste G1
Tulsa, OK 74135-2614
Phone (405) 768-1061

Other practice location 3

680 W 121st Ave Ste 110
Westminster, CO 80234-4223
Phone (208) 640-6096

Other practice location 4

14000 N Portland Ave Ste 204
Oklahoma City, OK 73134-4025
Phone (405) 768-1061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190913002011 OK Practitioner - Nurse Practitioner 5395074405 Reassigns benefits to 2 organizations
I20220718003650 CO Practitioner - Nurse Practitioner 5395074405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mosaic Infusion Solutions LLCGroup PAC ID 3173859147, shared by 2 NPIs, 9 clinicians

Practice addresses (Care Compare)

4150 S Harvard Ave
Suite G1
Tulsa, OK 74135-2614
Phone (918) 863-2731

7307 S Revere Pkwy
Suite 201
Centennial, CO 80112-3931
Phone (720) 456-3989

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
118681OKMDRegistered Nurse
C-APN.0004222-COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gallery Medical Family Clinic CurrentSince Jul 15, 2019 Accepting new patients
Mosaic Infusion Solutions LLC CurrentSince Feb 1, 2021 Accepting new patients
Mosaic Infusion Solutions LLC CurrentSince Jun 22, 2022 Accepting new patients
Mosaic Infusion Solutions LLC Current Accepting new patients
Mosaic Infusion Solutions LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

7307 S Revere Pkwy
Ste 201
Centennial, CO 80112
Phone (720) 456-3289

2270 Garden of the Gods Rd
Ste 103
Colorado Springs, CO 80907
Phone (719) 785-1378

6912 S Quentin St
Ste 50
Englewood, CO 80112

680 W 121st Ave
Ste 110
Westminster, CO 80234
Phone (208) 640-6096

14000 N Portland Ave
Ste 204
Oklahoma City, OK 73134
Phone (405) 768-1060

2801 NW 23rd St
Oklahoma City, OK 73107
Phone (405) 601-1545

4150 S Harvard Ave
Ste G1
Tulsa, OK 74135
Phone (918) 863-2731

Organizations & group practices 5

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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1790341196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 S QUENTIN ST STE 50",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 S REVERE PKWY STE 201",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123931",
            "telephone_number": "720-456-3989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2270 Garden Of The Gods Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809079440",
            "country_code": "US",
            "telephone_number": "720-456-3989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4150 S Harvard Ave Ste G1",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741352614",
            "country_code": "US",
            "telephone_number": "405-768-1061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 W 121st Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "802344223",
            "country_code": "US",
            "telephone_number": "208-640-6096",
            "fax_number": "844-465-0856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14000 N Portland Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731344025",
            "country_code": "US",
            "telephone_number": "405-768-1061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWE",
        "first_name": "SHAYLEE",
        "middle_name": "ALEXANDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0004222-",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "118681",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "118681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.