DR. STACY ANN SHACKELFORD M.D.
NPI 1215925672
Surgery - Trauma Surgery in Usaf Academy, CO
About Dr. Stacy Ann Shackelford M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STACY ANN SHACKELFORD M.D. (NPI 1215925672) is an individual trauma surgery provider in Usaf Academy, Colorado, licensed in Colorado (DR.0068946) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Stacy Ann Shackelford M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stacy Shackelford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Loveland, CO 80538
- Reassigned Medicare billing, Colorado enrollment
- 2,596 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.
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.
USAF ACADEMY, CO 80840
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 Shackelford's NPI number?
The NPI number for Stacy Shackelford is 1215925672. It was assigned to this individual provider in the NPPES registry on October 11, 2005.
Where is Stacy Shackelford located?
Stacy Shackelford practices at 4102 Pinion Dr, Usaf Academy, CO 80840. The listed phone number is (719) 333-5140.
What is Stacy Shackelford's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.
Is Stacy Shackelford enrolled in Medicare?
Yes. Stacy Shackelford is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stacy Shackelford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Shackelford reassigns Medicare benefits to Poudre Valley Medical Group, LLC (Loveland, CO). 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 Shackelford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacy Shackelford accept?
Health plans from Select Health list Stacy Shackelford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Stacy Shackelford was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.