STACY-ANN SHAND NURSE PRACTITIONER
NPI 1164876405
Nurse Practitioner - Family in Fort Defiance, AZ
About Stacy-ann Shand Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY-ANN SHAND NURSE PRACTITIONER (NPI 1164876405) is an individual family provider in Fort Defiance, Arizona, licensed in Florida (ARNP 9280531) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stacy-ann Shand Nurse Practitioner 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.
Medicare Billing Reassignment
Medicare enrollment records show Stacy-ann Shand reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Defiance, AZ 86504
- Reassigned Medicare billing, Texas enrollment
- 518 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
FORT DEFIANCE, AZ 86504
FORT DEFIANCE, AZ 86504
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 Stacy-ann Shand's NPI number?
The NPI number for Stacy-ann Shand is 1164876405. It was assigned to this individual provider in the NPPES registry on April 22, 2016.
Where is Stacy-ann Shand located?
Stacy-ann Shand practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8000.
What is Stacy-ann Shand's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacy-ann Shand enrolled in Medicare?
Yes. Stacy-ann Shand 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.
Which organization bills Medicare for Stacy-ann Shand's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy-ann Shand reassigns Medicare benefits to The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy-ann Shand's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stacy-ann Shand was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Stacy-Ann Shand, NURSE PRACTITIONER · NPI 1164876405
Family physician in Fort Defiance, Arizona. Individual provider, active in the CMS NPPES registry since April 22, 2016.
## Identity
- **NPI:** 1164876405 (Entity type: Individual)
- **Enumerated:** April 22, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** ARNP 9280531 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504
- **Phone:** (928) 729-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Fort Defiance Indian Hospital Board, Incorporation (NPI 1477876639, Fort Defiance, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164876405) · Data from the CMS NPPES public registry.