Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRYSTAL MARIE SHOTLIFF FNP
NPI 1063138162
Nurse Practitioner - Family in Pueblo, CO

Active since October 19, 2022PECOS EnrolledAccepts Medicare Assignment
201 LAMKIN ST. UNIT 101, PUEBLO, CO 81003(719) 543-6633(719) 543-6655 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2026, Jan 23, 2023, Oct 19, 2022 (3 updates tracked since 2022).

About Krystal Marie Shotliff Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTAL MARIE SHOTLIFF FNP (NPI 1063138162) is an individual family provider in Pueblo, Colorado, licensed in Colorado (0998109) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1063138162
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRYSTAL MARIE SHOTLIFFCredential: FNP
Location Address201 LAMKIN ST. UNIT 101Pueblo, CO 81003-8100
Mailing Address401 N 3rd StCanon City, CO 81212-3270 · (719) 792-9192
Fax(719) 543-6655
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 19, 2022
Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
NPI 1063138162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CO · 0998109
Also ListedNurse PractitionerTaxonomy 363L00000X · License 0998109 (CO)
201 LAMKIN ST. UNIT 101, Pueblo, CO 81003

Secondary Practice Locations 2

Location 13245 E US Highway 50 Unit ECanon City, CO 81212-9343 · Phone (719) 285-2888 · Fax (719) 285-2889
Location 22608 Pemberly AveHighlands Ranch, CO 80126-7568 · Phone (719) 755-0446

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Krystal Marie Shotliff Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961876255
PECOS Enrollment IDI20230328003108
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
203 services116 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
115 services85 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
73 services42 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
45 services35 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
40 services15 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
25 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krystal Shotliff's NPI number?

The NPI number for Krystal Shotliff is 1063138162. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Where is Krystal Shotliff located?

Krystal Shotliff practices at 201 Lamkin St. Unit 101, Pueblo, CO 81003. The listed phone number is (719) 543-6633.

What is Krystal Shotliff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Krystal Shotliff enrolled in Medicare?

Yes. Krystal Shotliff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Krystal Shotliff was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.