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DUSTIN HAYDEN SHEDRICK
NPI 1669978417
Counselor - Mental Health in La Junta, CO

Active since April 02, 2018PECOS Enrolled
711 BARNES AVE, LA JUNTA, CO 81050(800) 511-5446(719) 384-5672 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, May 28, 2025 (2 updates tracked since 2025).

About Dustin Hayden Shedrick NPPES

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

DUSTIN HAYDEN SHEDRICK (NPI 1669978417) is an individual mental health provider in La Junta, Colorado and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669978417
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDUSTIN HAYDEN SHEDRICK
Location Address711 BARNES AVELa Junta, CO 81050-2138
Mailing Address711 Barnes AveLa Junta, CO 81050-2138 · (800) 511-5446 · Fax (719) 384-5672
Phone(800) 511-5446
Fax(719) 384-5672
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 2, 2018
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1669978417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
711 BARNES AVE, La Junta, CO 81050
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dustin Hayden Shedrick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345753885
PECOS Enrollment IDI20250628000370
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSIE ANN SCHEUERMAN B.A.
Counselor (Mental Health)
711 BARNES AVE
LA JUNTA, CO 81050
Otero County (719) 384-5446
KENDRA SMITH
Case Manager/Care Coordinator
711 BARNES AVE
LA JUNTA, CO 81050
Otero County (719) 384-5446
JENNIFER KAY ROBERTSON M.A.
Counselor (Mental Health)
711 BARNES AVE
LA JUNTA, CO 81050
Otero County (719) 384-5446
KARA MARIE HURT B.S.
Counselor
711 BARNES AVE
LA JUNTA, CO 81050
Otero County (719) 384-5446
KATHERINE HAWLEY HIGGINS M.A.
Counselor (Mental Health)
711 BARNES AVE
LA JUNTA, CO 81050
Otero County (719) 384-5446
ADAM SCHAFER
Counselor (Addiction (Substance Use Disorder))
711 BARNES AVE
LA JUNTA, CO 81050
Otero County (800) 511-5446
NEREIDA MARIE AGUIRRE
Case Manager/Care Coordinator
711 BARNES AVE
LA JUNTA, CO 81050
Otero County (719) 384-5446
MRS. KRISTI LEANN ROE
Case Manager/Care Coordinator
711 BARNES AVE
LA JUNTA, CO 81050
Otero County (719) 384-5446

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 Dustin Shedrick's NPI number?

The NPI number for Dustin Shedrick is 1669978417. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Dustin Shedrick located?

Dustin Shedrick practices at 711 Barnes Ave, La Junta, CO 81050. The listed phone number is (800) 511-5446.

What is Dustin Shedrick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Dustin Shedrick enrolled in Medicare?

Yes. Dustin Shedrick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dustin Shedrick was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.