Active NPI
John M Shetlar, DO
- Family Medicine Physician
- Leavenworth, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0524233
- Practice address
- 1100 N 4TH St
Leavenworth, KS 66048-1572 - Phone
- (888) 381-4858
- Fax
- (913) 297-9628
- NPI assigned
- Apr 19, 2006
- Last updated
- Aug 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0524233 | KS | Primary |
Addresses
Primary practice location
1100 N 4TH St
Leavenworth, KS 66048-1572
Mailing address
1100 N 4TH St
Leavenworth, KS 66048-1572
Phone (888) 381-4858
Other practice location 1
2741 NE McBaine Dr
Lees Summit, MO 64064-7880
Phone (816) 554-2600
Other practice location 2
4140A Laramie St
Cheyenne, WY 82001-1969
Phone (307) 637-2800
Other practice location 3
4140 Laramie St
Cheyenne, WY 82001-1969
Phone (307) 637-2800
Other practice location 4
110 N 66th St
Lincoln, NE 68505-2402
Phone (402) 325-8950
Other practice location 5
202 E Nifong Blvd
Columbia, MO 65203-3759
Phone (573) 874-6825
Other practice location 6
7380 W 52nd Ave Unit 1
Arvada, CO 80002-3716
Phone (303) 463-5941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100162320E | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, CO, MO, NE, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1100 N 4TH St
Leavenworth, KS 66048-1572
Phone (913) 297-9945
18890 E Hampden Ave
Aurora, CO 80013-3504
Phone (303) 617-1604
202 E Nifong Blvd
Providence Urgent Care Nifong
Columbia, MO 65203-3759
Phone (573) 874-6824
2741 NE McBaine Dr
Lees Summit, MO 64064-7880
Phone (816) 554-2600
4590 W 121St Ave
Broomfield, CO 80020-5666
Phone (303) 439-4544
7380 W 52ND Ave
Unit I
Arvada, CO 80002-3719
Phone (303) 463-5941
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2825 | NE | MD | Mental Health Counselor |
| 0524233 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wright Turn Lane PC | Family Medicine | Current | Accepting new patients |
| Colorado Urgent Care PLLC | Current | Accepting new patients | |
| Providence Urgent Care LLC | Current | Accepting new patients | |
| Nextcare Missouri LLC | Current | Accepting new patients | |
| Colorado Urgent Care PLLC | Current | Accepting new patients | |
| Wright Turn Lane PC | Current | Accepting new patients | |
| Emergent Care Plus, LLC | Family Medicine | Current | Accepting new patients |
| Colorado Urgent Care PLLC | Current | Accepting new patients | |
| College Drive Urgent Care LLC | Current | Accepting new patients | |
| Emergent Care Plus of Overland Park, LLC | Family Medicine | Current | Accepting new patients |
| Nextcare Nebraska Providers LLC | Current | Accepting new patients | |
| Medi Horizons Inc | Family Medicine | Past | Accepting new patients |
| Comcare, P.a. | Past | Accepting new patients |
Locations
18890 E Hampden Ave
Aurora, CO 80013
Phone (303) 617-1604
1100 N 4th St
Leavenworth, KS 66048
Phone (913) 297-9945
2770 S 9th St
Salina, KS 67401
Phone (785) 827-3551
202 E Nifong Blvd
Columbia, MO 65203
Phone (573) 874-6824
10015 N Ambassador Dr
Ste 100
Kansas City, MO 64153
Phone (816) 595-4000
2741 NE McBaine Dr
Lees Summit, MO 64064
Phone (816) 554-2600
110 N 66th St
Lincoln, NE 68505
Phone (402) 325-8950
8419 S 73rd Plz
Ste 101
Papillion, NE 68046
Phone (402) 991-9060
309 S Lincoln Ave
York, NE 68467
Phone (402) 720-9986
627 N Lincoln Ave
York, NE 68467
2030 Bluegrass Cir
Cheyenne, WY 82009
Phone (307) 635-3500
4140 Laramie St
Cheyenne, WY 82001
Phone (307) 259-4655
4140 Laramie St
#A
Cheyenne, WY 82001
Phone (307) 637-2800
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 13
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.
-
dba NextCare Urgent Care
- Urgent Care Clinic/Center
- Leavenworth, KS
- NPI 1811224371
Family Medicine
-
dba NextCare Urgent Care
- Urgent Care Clinic/Center
- Arvada, CO
- NPI 1144251976
-
dba NextCare Urgent Care
- Urgent Care Clinic/Center
- Lee's Summit, MO
- NPI 1396923181
Family Medicine
-
dba NextCare Urgent Care
- Urgent Care Clinic/Center
- Columbia, MO
- NPI 1245694082
-
- Urgent Care Clinic/Center
- Cheyenne, WY
- NPI 1467601765
-
dba NextCare Urgent Care
- Urgent Care Clinic/Center
- Lincoln, NE
- NPI 1942942909
-
dba Urgent Care of Papillion
- Urgent Care Clinic/Center
- Papillion, NE
- NPI 1346535861
-
dba NextCare Urgent Care
- Urgent Care Clinic/Center
- Broomfield, CO
- NPI 1336757947
-
dba NextCare Urgent Care
- Urgent Care Clinic/Center
- Greeley, CO
- NPI 1447868880
-
- Urgent Care Clinic/Center
- Columbia, MO
- NPI 1144478033
-
dba Urgent Care of Papillion South
- Family Medicine Physician
- Papillion, NE
- NPI 1134522808
-
- Urgent Care Clinic/Center
- Salina, KS
- NPI 1487698312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755993600000",
"number": "1821053091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 N 4TH ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660481572",
"telephone_number": "888-381-4858",
"fax_number": "913-297-9628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N 4TH ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660481572",
"telephone_number": "888-381-4858",
"fax_number": "913-297-9628"
}
],
"practiceLocations": [
{
"address_1": "2741 NE McBaine Dr",
"address_purpose": "LOCATION",
"city": "Lees Summit",
"state": "MO",
"postal_code": "640647880",
"country_code": "US",
"telephone_number": "816-554-2600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4140A Laramie St",
"address_purpose": "LOCATION",
"city": "Cheyenne",
"state": "WY",
"postal_code": "820011969",
"country_code": "US",
"telephone_number": "307-637-2800",
"fax_number": "307-637-2867",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4140 Laramie St",
"address_purpose": "LOCATION",
"city": "Cheyenne",
"state": "WY",
"postal_code": "820011969",
"country_code": "US",
"telephone_number": "307-637-2800",
"fax_number": "307-637-2867",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 N 66th St",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685052402",
"country_code": "US",
"telephone_number": "402-325-8950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "202 E Nifong Blvd",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652033759",
"country_code": "US",
"telephone_number": "573-874-6825",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7380 W 52nd Ave Unit 1",
"address_purpose": "LOCATION",
"city": "Arvada",
"state": "CO",
"postal_code": "800023716",
"country_code": "US",
"telephone_number": "303-463-5941",
"fax_number": "303-463-5951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHETLAR",
"first_name": "JOHN",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2025-08-24",
"certification_date": "2025-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "0524233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100162320E",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.