Shane Austin Stanford, ACAGNP
NPI 1871452680ActiveIndividual· Nurse Practitioner, Acute Care· Hannibal, MO
Nurse Practitioner, Acute Care (ACAGNP) with Hannibal Regional Healthcare System Inc, practicing in Hannibal, Missouri. Enrolled in Medicare as practitioner - nurse practitioner. Lists Hannibal Regional Hospital as a hospital affiliation.
Overview
| NPI | 1871452680 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ACAGNP |
| Sole proprietor | No |
| NPI issued | Jan 17, 2026 |
| Last updated in NPPES | Mar 12, 2026 |
| Certified by provider | Mar 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 2026001767 | MO |
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 - Nurse Practitioner (MO) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Hannibal Regional Healthcare System IncHannibal, MO · 272 clinicians
Hospital affiliation
- Hannibal Regional HospitalHannibal, MO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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