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

Krystal Marie Shotliff, FNP

Individual provider Family Nurse Practitioner · NPI 1063138162

Krystal Marie Shotliff, FNP is a Nurse Practitioner in Pueblo, Colorado. Qualified in 2022, 4 years ago. Practices with Healogics Specialty Physicians of Colorado-Professional LLC, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
4
Licensed in
CO
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

201 Lamkin St Unit 101
Pueblo, CO 81003-8100
Phone: (719) 543-6633
Fax: (719) 543-6655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2608 Pemberly Ave, Highlands Ranch, CO 80126-7568 — (719) 755-0446

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0998109 (CO)
Nurse Practitioner Taxonomy 363L00000X · Licence 0998109 (CO)

Record details

NPI number1063138162
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 19, 2022
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Healogics Specialty Physicians Of Colorado-Professional Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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