TY SHETTRON (FNP) – Family Nurse Practitioner, NPI 1659709574

TY SHETTRON (FNP) is a healthcare provider. based in Pleasant grove, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. GAA-NP001776 (GA). The NPI Number for TY SHETTRON (FNP) is 1659709574

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
TY SHETTRON (FNP)
NPI
1659709574
Phone
(800) 640-3451
Address
PO BOX 1200
Enumeration Date
1 November 2013
Last Update Date
29 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
2860481223
Professional Enrollment ID
I20250425000881
Address ID
CO801049743Ca1144XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness85
Years active:12State licenses:5Digital endpointsOther names

5,198 NURSE PRACTITIONER in CO

Provider Addresses for TY SHETTRON (FNP)

  • PO BOX 1200

    PLEASANT GROVE, UT 840621200

    Phone: (800) 640-3451

    Type: Mailing

  • 13741 E RICE PL STE 101

    AURORA, CO 800151082

    Phone: (800) 640-3451

    Type: Location

  • 373 E 10TH AVE

    SPRINGFIELD, CO 810731622

    Phone: (719) 523-6628

    Fax: (719) 523-4513

    Type: Mailing

  • 900 CHURCH ST

    SPRINGFIELD, CO 810731636

    Phone: (719) 523-6628

    Fax: (719) 523-4513

    Type: Location

  • 1144 LAKE GULCH RD

    CASTLE ROCK, CO 801049743

    Phone: (303) 328-1838

    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: 2025-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20190218001410INurse PractitionerCOTBD
I20230501001403INurse PractitionerNMTBD
I20231106002819INurse PractitionerGATBD
I20250425000147INurse PractitionerPATBD
I20250425000881INurse PractitionerVATBD

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
Q4262Dual layer impax membrane, per square centimeter2,17238$0
Q4253Zenith amniotic membrane, per square centimeter79423$0
99214Established patient office or other outpatient visit, 30-39 minutes43492$0
11000Removal of inflamed or infected skin, up to 10% of body surface30872$0
Q4173Palingen or palingen xplus, per square centimeter28419$0
View full utilization report →

Insurance plans in this area (ZIP 84062)

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Reviews

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Frequently asked questions

Can I use this page to confirm TY SHETTRON (FNP)'s NPI?
Yes. TY SHETTRON (FNP) is listed with NPI 1659709574 in the public NPI dataset.
Can I rely on TY SHETTRON (FNP) being an active provider?
As of the registry snapshot, TY SHETTRON (FNP) is marked active.
What is TY SHETTRON (FNP) best known for clinically?
Directory data describes TY SHETTRON (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for TY SHETTRON (FNP)?
TY SHETTRON (FNP)'s geographic hint is Pleasant Grove, Utah in our summary view.
Why does TY SHETTRON (FNP) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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