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STACEY SHAW NP
NPI 1407059439
Registered Nurse in Colorado Springs, CO

Active since June 07, 2007PECOS Enrolled
6705 RANGEWOOD DR, COLORADO SPRINGS, CO 80918(719) 599-7331(719) 390-1333 Get Directions Write a Review

NPPES record last updated: December 31, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stacey Shaw Np NPPES

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

STACEY SHAW NP (NPI 1407059439) is an individual registered nurse in Colorado Springs, Colorado, licensed in Colorado (177117) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407059439
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameSTACEY SHAWCredential: NP
Location Address6705 RANGEWOOD DRColorado Springs, CO 80918-7300
Mailing Address6705 Rangewood DrColorado Springs, CO 80918-7300 · (719) 599-7331 · Fax (719) 390-1333
Phone(719) 599-7331
Fax(719) 390-1333
Sole ProprietorNo
Enumeration DateJune 7, 2007
Last NPPES UpdateDecember 31, 2014
✔ NPI 1407059439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in CO · 177117
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
6705 RANGEWOOD DR, Colorado Springs, CO 80918
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Shaw Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Stacey Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montclair Breast Center PC
1,620 mi
Surgery
37 NO FULLERTON AVENUE, MONTCLAIR BREAST CENTER PC
Montclair, NJ 07042
  • Reassigned Medicare billing, New Jersey enrollment
  • 17 clinicians in this Medicare group
NPI 1053367334 (973) 509-1818

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 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALICIA VANDERSLUIS M.D.
Obstetrics & Gynecology
6705 RANGEWOOD DR
COLORADO SPRINGS, CO 80918
El Paso County (719) 599-7331
ROBYN C GRIFFITH CNM
Clinical Nurse Specialist (Women's Health)
6705 RANGEWOOD DR
COLORADO SPRINGS, CO 80918
El Paso County (719) 599-7331
KARI LENAY TAYLOR-ROMERO FNP
Nurse Practitioner (Family)
6705 RANGEWOOD DR
COLORADO SPRINGS, CO 80918
El Paso County (719) 599-7331
MEGAN DICKEY CNM
Advanced Practice Midwife
6705 RANGEWOOD DR
COLORADO SPRINGS, CO 80918
El Paso County (719) 599-7331
POUDRE VALLEY MEDICAL GROUP, LLC
Obstetrics & Gynecology
6705 RANGEWOOD DR
COLORADO SPRINGS, CO 80918
El Paso County (719) 364-0900
AMY ELIZABETH QUIST
Nurse Practitioner
6705 RANGEWOOD DR
COLORADO SPRINGS, CO 80918
El Paso County (719) 599-7331
COLORADO SPRINGS OBSTETRICS & GYNECOLOGY, P.C.
Specialist
6705 RANGEWOOD DR
COLORADO SPRINGS, CO 80918
El Paso County (719) 599-7331
ASHLEY NICOLE BELL FNP-C
Nurse Practitioner
6705 RANGEWOOD DR
COLORADO SPRINGS, CO 80918
El Paso County (719) 364-0900

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 Shaw's NPI number?

The NPI number for Stacey Shaw is 1407059439. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Stacey Shaw located?

Stacey Shaw practices at 6705 Rangewood Dr, Colorado Springs, CO 80918. The listed phone number is (719) 599-7331.

What is Stacey Shaw's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Stacey Shaw enrolled in Medicare?

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

Which organization bills Medicare for Stacey Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Shaw reassigns Medicare benefits to Montclair Breast Center PC (Montclair, NJ). 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 Stacey Shaw'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 Stacey Shaw was last updated on December 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.