Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Stacy Ann Shackelford, MD

Individual provider Surgery Physician · NPI 1215925672

Dr. Stacy Ann Shackelford, MD is a Surgery Physician in Usaf Academy, Colorado. Licensed in Colorado and Utah. Registered with an NPI since 2005.

Licensed in
CO, UT
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4102 Pinion Dr
Usaf Academy, CO 80840-2502
Phone: (719) 333-5140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence DR.0068946 (CO)
Surgery Physician Taxonomy 208600000X · Licence 280123-1205 (UT)

Record details

NPI number1215925672
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 11, 2005
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025

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