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

Shaileen Johnson, FNP-C

Individual provider Nurse Practitioner · NPI 1689265571

Shaileen Johnson, FNP-C is a Nurse Practitioner in Pueblo, Colorado. Qualified in 2020, 6 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
6
Licensed in
CO
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1304 N Grand Ave
Pueblo, CO 81003-2718
Phone: (719) 562-2360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 84 S Tequila Dr, Pueblo West, CO 81007-2083 — (970) 978-1851

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0996289 (CO)

Record details

NPI number1689265571
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 2, 2021
Last updated in NPPESJuly 8, 2021
Certification dateJuly 7, 2021
Mailing address1304 N Grand Ave, Pueblo, CO 81003-2718

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pueblo