James Thomas Sheller , ACNP
Nurse Practitioner โข Grand Junction, CO
2503 Foresight Cir Unit B
Grand Junction, CO 815051139
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on February 27, 2021; this date does not establish years in practice.
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Published CMS data list 1,049 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 93000 โ Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report: 370 service units.
- 99214 โ Established patient outpatient office visit: 329 service units.
- 93296 โ Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days: 110 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 8 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,330 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Metoprolol Succinate โ 227 prescription fills, including refills.
- Carvedilol โ 146 prescription fills, including refills.
- Spironolactone โ 130 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 25 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Grand Junction, CO (2024, 21 clinicians with data). Median for this group: 262. Middle half: 114 to 993.
More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Colorado (2024, 469 clinicians with data). Median for this group: 245. Middle half: 88 to 628.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 551 in 2021 to 1,049 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021โ2024.
Practice Location & Contact Primary Location
2503 Foresight Cir Unit B
Grand Junction, CO 815051139
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Colorado West Healthcare System. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2020
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
420 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $55,424 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $40,529 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
3,338 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$341,410 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2024
All general payments: $276.75 across 5 records.
By nature of payment
- Food and Beverage: $276.75 across 5 records.
Reporting-company totals (3 largest of 4)
- Edwards Lifesciences Corporation: $121.38 across 1 record.
- Medtronic, Inc.: $96.02 across 1 record.
- Bristol Myers Squibb Company: $30.27 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).
Years since graduation
6 years (graduated 2020)
CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2021
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
James Sheller has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists James Sheller as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Grand Junction and Colorado
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Grand Junction, CO (2024, 21 clinicians with data). Median for this group: 262. Middle half: 114 to 993.
More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Colorado (2024, 469 clinicians with data). Median for this group: 245. Middle half: 88 to 628.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Nurse Practitioner in Grand Junction, CO (2024, 21 clinicians with data). Median for this group: $21,751. Middle half: $13,498 to $54,882.
A higher Medicare-allowed amount than 75% of clinicians listed under Nurse Practitioner in Colorado (2024, 469 clinicians with data). Median for this group: $20,414. Middle half: $7,131 to $46,475.
Paid by Medicare
A higher Medicare payment amount than 75% of clinicians listed under Nurse Practitioner in Grand Junction, CO (2024, 21 clinicians with data). Median for this group: $16,277. Middle half: $8,747 to $40,529.
A higher Medicare payment amount than 75% of clinicians listed under Nurse Practitioner in Colorado (2024, 469 clinicians with data). Median for this group: $14,751. Middle half: $5,236 to $35,497.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Nurse Practitioner in Grand Junction, CO (2024, 21 clinicians with data). Median for this group: 518. Middle half: 100 to 1,407.
More Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Colorado (2024, 564 clinicians with data). Median for this group: 281. Middle half: 77 to 997.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Nurse Practitioner in Grand Junction, CO (2024, 21 clinicians with data). Median for this group: $54,087. Middle half: $1,392 to $296,855.
A higher Part D drug cost than 85% of clinicians listed under Nurse Practitioner in Colorado (2024, 564 clinicians with data). Median for this group: $19,585. Middle half: $1,187 to $128,502.
38 active clinicians are listed under Nurse Practitioner with a practice address in Grand Junction, CO (1,262 in Colorado).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Grand Junction
23.7% of these 38 clinicians have the CMS telehealth indicator.
68.4% of these 38 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 90% from 551 in 2021 to 1,049 in 2024.
- 2021: 551
- 2022: 2,856
- 2023: 2,332
- 2024: 1,049
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Medicare-allowed amount
Medicare-allowed amount increased 130% from $24,099 in 2021 to $55,424 in 2024.
- 2021: $24,099
- 2022: $117,625
- 2023: $88,003
- 2024: $55,424
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Paid by Medicare
Paid by Medicare increased 114% from $18,907 in 2021 to $40,529 in 2024.
- 2021: $18,907
- 2022: $84,492
- 2023: $59,249
- 2024: $40,529
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 1429% from 87 in 2021 to 1,330 in 2024.
- 2021: 87
- 2022: 946
- 2023: 1,375
- 2024: 1,330
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30-day fills
30-day fills increased 1538% from 204 in 2021 to 3,338 in 2024.
- 2021: 204
- 2022: 2,208
- 2023: 3,272
- 2024: 3,338
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Part D drug cost
Part D drug cost increased 1706% from $18,904 in 2021 to $341,410 in 2024.
- 2021: $18,904
- 2022: $223,701
- 2023: $318,551
- 2024: $341,410
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $288.72 in 2021 to $276.75 in 2024.
- 2021: $288.72
- 2022: $146.17
- 2023: $172.14
- 2024: $276.75
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 โ December 31, 2024): fewer than 11 records totaling $276.75.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Edwards Lifesciences Corporation |
Food and Beverage
In-kind items and services
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EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) | General | $121.38 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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HAWKONE | General | $96.02 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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REBLOZYL | General | $29.08 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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CAMZYOS | General | $16.21 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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ELIQUIS | General | $14.06 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2021โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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370 | 302 | $38.00 | $12.40 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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329 | 263 | $277.00 | $111.24 |
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93296
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days
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110 | 104 | $33.00 | $22.39 |
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93294
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days
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88 | 82 | $33.00 | $24.95 |
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93298
Evaluation of cardiac rhythm monitor system, remote up to 30 days
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56 | 31 | $59.00 | $59.13 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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45 | 45 | $197.00 | $78.94 |
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93280
Programming of dual lead pacemaker system
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30 | 30 | $148.00 | $68.88 |
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93295
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days
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21 | 21 | $149.00 | $30.95 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Metoprolol Succinate | Metoprolol Succinate | 227 | 17,866 | $2,973.11 | 80 |
| Carvedilol | Carvedilol | 146 | 11,485 | $998.27 | 45 |
| Spironolactone | Spironolactone | 130 | 11,370 | $1,160.55 | 46 |
| Eliquis | Apixaban | 104 | 6,025 | $114,209.54 | 26 |
| Entresto | Sacubitril/Valsartan | 92 | 6,395 | $141,600.82 | 27 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 84 | 6,830 | $1,190.56 | 27 |
| Losartan Potassium | Losartan Potassium | 64 | 5,215 | $572.85 | 27 |
| Amlodipine Besylate | Amlodipine Besylate | 59 | 4,814 | $387.07 | 18 |
| Lisinopril | Lisinopril | 49 | 4,065 | $271.12 | 18 |
| Jardiance | Empagliflozin | 44 | 2,296 | $44,578.97 | โ |
| Potassium Chloride | Potassium Chloride | 43 | 2,365 | $787.16 | 17 |
| Furosemide | Furosemide | 37 | 2,072 | $112.35 | 21 |
| Torsemide | Torsemide | 30 | 2,042 | $425.98 | 15 |
| Amiodarone Hcl | Amiodarone Hcl | 27 | 1,924 | $124.14 | โ |
| Metoprolol Tartrate | Metoprolol Tartrate | 26 | 1,755 | $75.87 | โ |
| Atorvastatin Calcium | Atorvastatin Calcium | 26 | 2,340 | $230.37 | โ |
| Diltiazem 24hr Er | Diltiazem Hcl | 22 | 1,935 | $616.67 | โ |
| Flecainide Acetate | Flecainide Acetate | 22 | 1,680 | $631.66 | โ |
| Ezetimibe | Ezetimibe | 16 | 840 | $874.12 | โ |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 15 | 1,230 | $82.75 | โ |
| Xarelto | Rivaroxaban | 15 | 1,350 | $24,658.65 | โ |
| Atenolol | Atenolol | 15 | 1,215 | $164.20 | โ |
| Diltiazem 24hr Er (Cd) | Diltiazem Hcl | 14 | 1,030 | $184.95 | โ |
| Farxiga | Dapagliflozin Propanediol | 12 | 420 | $3,916.64 | โ |
| Valsartan | Valsartan | 11 | 990 | $581.79 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-09-29NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363LA2100X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20210615001682
CO
9830599745
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Colorado West Healthcare System
2351 G Rd, Grand Junction, CO 815059641
Phone: 9702420920
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Cardiovascular Disease
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Family
Nurse Practitioner (Certified)
Internal Medicine - Cardiovascular Disease
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine - Endocrinology, Diabetes & Metabolism
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2503 FORESIGHT CIR UNIT B, GRAND JUNCTION, CO 815051139 (Tel: 9066444030)
Registered at PO BOX 1727, GRAND JCT, CO 815021727 (Tel: 9706444030)
NPI status registered as active in NPPES database
Registered at 360 W PARK DR, GRAND JUNCTION, CO 815051448 (Tel: 9702442482)
Registered at 1165 CHARLES GRV, COLORADO SPRINGS, CO 809068715 (Tel: 2079923628)
Recorded as JAMES SHELLER, ACNP
Nurse Practitioner (license number reported to NPPES: CO APN.0996101-NP)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Grand Junction
- Arianna Andersen, FNP
- Laurie Cox, NP
- Ashley Whitney, NP
- Nicole Stanley, FNP
- Glenda Cain, RN, FNP
- Audrey Kramer, ACNP
Mailing Address
Po Box 1727
Grand Jct, CO 815021727
Phone: 9706444030