Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Garrett Shackleton, MD

Individual provider Surgery Physician · NPI 1295183184

Garrett Shackleton, MD is a General Surgery in Waukee, Iowa. Qualified in 2016, 10 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa.

Years since qualifying
10
Licensed in
IA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2515 Grand Prairie Pkwy
Waukee, IA 50263-8979
Phone: (515) 265-1300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence MD-56398 (IA)
Surgery Physician Taxonomy 208600000X · Licence MD-56398 (IA)

Record details

NPI number1295183184
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2016
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing address2515 Grand Prairie Pkwy, Waukee, IA 50263-8979

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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