DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STACY ANN SHACKELFORD, M.D.

Active

DR. STACY ANN SHACKELFORD, M.D. is a Trauma Surgery healthcare provider located in USAF ACADEMY, Colorado. NPI 1215925672 is currently active in the NPPES registry. Verify at CMS.

Trauma Surgery · USAF ACADEMY, CO

Registration Details

NPI Number
1215925672
Provider Type
Individual
Gender
Female
NPI Issued
Oct 11, 2005 (20.654246340328 yrs)
Last Updated
Oct 13, 2025
Licenses
280123-1205 (UT)
DR.0068946 (CO)

Practice Information

Address
4102 PINION DR
USAF ACADEMY, CO, 808402502
Browse CO providers · Browse ZIP 80840
Phone
7193335140
Primary Specialty
Trauma Surgery
2086S0127X
Additional Specialty
Trauma Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.