Stacy Ann Shackelford, M.D.
NPI 1215925672ActiveIndividual· Surgery, Trauma Surgery· Usaf Academy, CO
Surgery, Trauma Surgery (M.D.) in Usaf Academy, Colorado, licensed in CO and UT, with an NPI issued in October 2005. Enrolled in Medicare as practitioner - general surgery.
Overview
| NPI | 1215925672 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 11, 2005 |
| Last updated in NPPES | Oct 13, 2025 |
| Certified by provider | Oct 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Trauma Surgery Primary | 2086S0127X | DR.0068946 | CO |
| Surgery | 208600000X | 280123-1205 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (CO) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records