STACY SHOMO (APN) – Nurse Practitioner, NPI 1245849637

STACY SHOMO (APN) is a healthcare provider. based in Castle rock, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. APN.0995738-NP (CO). The NPI Number for STACY SHOMO (APN) is 1245849637

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
STACY SHOMO (APN)
NPI
1245849637
Phone
(303) 435-8854
Address
1688 VALLEY OAK CT
Enumeration Date
30 July 2020
Last Update Date
2 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9706092001
Graduation Year
2020 (6 years ago)
PAC ID
5496167082
Group Practice PAC ID
2860879368
Professional Enrollment ID
I20201228000340
Address ID
CO815057130GR995XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for STACY SHOMO (APN)

  • 1688 VALLEY OAK CT

    CASTLE ROCK, CO 801042211

    Phone: (303) 435-8854

    Type: Mailing

  • 2351 G RD

    GRAND JUNCTION, CO 815059641

    Phone: (970) 242-0920

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-12-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201228000340INurse PractitionerCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes5555$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen3434$0
99204New patient office or other outpatient visit, 45-59 minutes3232$0
99213Established patient office or other outpatient visit, 20-29 minutes2623$0
99284Emergency department visit with moderate level of medical decision making2222$0
View full utilization report →

Insurance plans in this area (ZIP 80104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860879368View full group profile
NameSpecialtyState
Nurse PractitionerCO
Physician AssistantCO
Nurse PractitionerCO
Physician AssistantCO
Nurse PractitionerCO
Nurse PractitionerCO
Physician AssistantCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerAZ

Reviews

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Frequently asked questions

What is the standard ID for STACY SHOMO (APN) in the U.S.?
In the U.S., STACY SHOMO (APN) is identified by NPI 1245849637.
Is STACY SHOMO (APN) currently accepting referrals based on NPI status?
Registry metadata lists STACY SHOMO (APN) as active.
What type of care does STACY SHOMO (APN) provide?
STACY SHOMO (APN)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to STACY SHOMO (APN)?
STACY SHOMO (APN) shows a connection to Castle Rock, Colorado in registry-derived data.
Why is information missing for STACY SHOMO (APN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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