Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. John K Clayshulte III, PA-C

Individual provider Physician Assistant · NPI 1700033156

Mr. John K Clayshulte III, PA-C is a Physician Assistant in Pueblo, Colorado. Qualified in 2014, 12 years ago. Practices with Vanguard Medical Specialists, LLC, a 23-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado, New Mexico and Washington.

Years since qualifying
12
Licensed in
CO, NM, WA
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5700 N Elizabeth St
Pueblo, CO 81008-2166
Phone: (719) 355-1585
Fax: (719) 623-2983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 109 Latigo Ln Ste F, Canon City, CO 81212-8113 — (719) 355-1585
  • 6215 Corporate Dr Ste 101, Colorado Springs, CO 80919-1917 — (719) 355-1585

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0008465 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 60632876 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA2014-0058 (NM)

Record details

NPI number1700033156
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 27, 2008
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Vanguard Medical Specialists, Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Pueblo