KRYSTAL MARIE SHOTLIFF (FNP) – Family Nurse Practitioner, NPI 1063138162
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,198 NURSE PRACTITIONER in CO
Provider Addresses for KRYSTAL MARIE SHOTLIFF (FNP)
2608 Pemberly Ave
Highlands Ranch, CO 801267568
Phone: (719) 755-0446
Type: Location
401 N 3RD ST
CANON CITY, CO 812123270
Phone: (719) 792-9192
Type: Mailing
201 LAMKIN ST. UNIT 101
PUEBLO, CO 810038100
Phone: (719) 543-6633
Fax: (719) 543-6655
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $88.
Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.
Last reported payment date: 2023-07-24 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($39).
Total Amount
$88
General + Research + Ownership
Payments
5
Total payment records
General Amount
$88
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $39 |
| ABBVIE INC. | $33 |
| Gilead Sciences, Inc. | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-03-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230328003108 | I | Nurse Practitioner | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 49 | 42 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 18 | 16 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 16 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 14 | $0 |
Insurance plans in this area (ZIP 80126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | ID | |
| Nurse Practitioner | CO | |
| - | CO | |
| - | CO | |
| Emergency Medicine | CO | |
| Nurse Practitioner | TX | |
| - | CO | |
| Emergency Medicine | NY | |
| Nurse Practitioner | CO | |
| - | CO |
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