DR. STACY ANN SHACKELFORD M.D.
NPI 1215925672
Surgery - Trauma Surgery in Usaf Academy, CO

Active since October 11, 2005PECOS Enrolled
4102 PINION DR, USAF ACADEMY, CO 80840(719) 333-5140 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 30, 2023, Sep 1, 2022, Jan 12, 2021 (3 updates tracked since 2021).

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

NPI1215925672
Entity TypeIndividualFemale
Primary Taxonomy2086S0127X
Provider Legal NameDR. STACY ANN SHACKELFORDCredential: M.D.
Location Address4102 PINION DRUsaf Academy, CO 80840-2502
Mailing Address4102 Pinion DrUsaf Academy, CO 80840-2502 · (719) 333-5140
Sole ProprietorNo
Enumeration DateOctober 11, 2005
Last NPPES UpdateOctober 13, 20253 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
NPI 1215925672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License Licensed in CO · DR.0068946
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Also ListedSurgeryTaxonomy 208600000X · License 280123-1205 (UT)
4102 PINION DR, Usaf Academy, CO 80840

Other Identifiers 1

Medicaid441150100MD

Accepted Insurance

Medicare Participation & PECOS CMS

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

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).

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.

Social Worker (Clinical)
4102 PINION DR
USAF ACADEMY, CO 80840
Pediatrics
4102 PINION DR
US AIR FORCE, CO 80840
Registered Nurse
4102 PINION DR
US AIR FORCE, CO 80840
Pharmacist
4102 PINION DR
USAF ACADEMY, CO 80840
Dentist (Periodontics)
4102 PINION DR
U S A F ACADEMY, CO 80840
Pediatrics (Pediatric Infectious Diseases)
4102 PINION DR
USAF ACADEMY, CO 80840
Orthopaedic Surgery (Hand Surgery)
4102 PINION DR
US AIR FORCE, CO 80840
Physical Therapist
4102 PINION DR
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.

What insurance does Stacy Shackelford accept?

Health plans from UnitedHealthcare 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 10 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.