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MRS. STACEY MARIE SHOOP M.D.
NPI 1104222124
Physician Assistant - Medical in Santa Ana, CA

Active since November 19, 2014PECOS Enrolled
2621 S BRISTOL ST, STE 108, SANTA ANA, CA 92704(714) 754-1684(714) 966-0417 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2024, Aug 25, 2022, Aug 17, 2022 (3 updates tracked since 2022).

About Mrs. Stacey Marie Shoop M.d. NPPES

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

MRS. STACEY MARIE SHOOP M.D. (NPI 1104222124) is an individual medical provider in Santa Ana, California, licensed in California (PA52143) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fountain Valley.

NPPES Registry Identity

NPI1104222124
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. STACEY MARIE SHOOPCredential: M.D.
Location Address2621 S BRISTOL ST, STE 108Santa Ana, CA 92704-5718
Mailing Address2621 S Bristol St, Ste 108Santa Ana, CA 92704-5718 · (714) 754-1684 · Fax (714) 966-0417
Phone(714) 754-1684
Fax(714) 966-0417
Sole ProprietorYes
Enumeration DateNovember 19, 2014
Last NPPES UpdateJuly 24, 20243 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1104222124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA52143
2621 S BRISTOL ST, Santa Ana, CA 92704
Open in Google Maps ↗

Secondary Practice Location 1

Location 111263 Stonecress AveFountain Valley, CA 92708-2448 · Phone (714) 415-8216

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Stacey Marie Shoop M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims36 services$6.21 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers11 claims36 services$1.75 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers25 claims27 services$24.57 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$202.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ALAN C SCHWARTZ MD
Internal Medicine
2621 S BRISTOL ST, #307
SANTA ANA, CA 92704
Orange County (714) 918-3070
DR. HUNG-MIN SUNG M.D.
Internal Medicine
2621 S BRISTOL ST, SUITE 109
SANTA ANA, CA 92704
Orange County (714) 754-0310
NEUROLOGY DOCTORS OF CALIFORNIA, INC.
Specialist
2621 S BRISTOL ST, # 105
SANTA ANA, CA 92704
Orange County (714) 540-1840
HON YU, M.D., INC.
Internal Medicine
2621 S BRISTOL ST, SUITE 208
SANTA ANA, CA 92704
Orange County (714) 210-2450
DR. DAVID C YANG MD
Pediatrics
2621 S BRISTOL ST, SUITE 306
SANTA ANA, CA 92704
Orange County (714) 556-1882
ROBERT M CASTRO DO
Internal Medicine
2621 S BRISTOL ST, SUITE 108
SANTA ANA, CA 92704
Orange County (714) 754-1684
PATHWAY MEDICAL GROUP, INC.
Internal Medicine (Geriatric Medicine)
2621 S BRISTOL ST, #203
SANTA ANA, CA 92704
Orange County (714) 662-2256
MA ANGELICA CUYUGAN
Nurse Practitioner (Family)
2621 S BRISTOL ST, SUITE 202
SANTA ANA, CA 92704
Orange County (657) 900-4536

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 Stacey Shoop's NPI number?

The NPI number for Stacey Shoop is 1104222124. It was assigned to this individual provider in the NPPES registry on November 19, 2014.

Where is Stacey Shoop located?

Stacey Shoop practices at 2621 S Bristol St Ste 108, Santa Ana, CA 92704. The listed phone number is (714) 754-1684.

What is Stacey Shoop's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Stacey Shoop enrolled in Medicare?

Yes. Stacey Shoop is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Shoop was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.