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

Individual provider Family Nurse Practitioner · NPI 1679183172

Mrs. Stacie Teresa McCally, FNP is a Nurse Practitioner in Broomfield, Colorado. Qualified in 2020, 6 years ago. Practices with Boulder Medical Center, PC, a 86-clinician group and accepts Medicare assignment. Licensed in California and Colorado.

Years since qualifying
6
Licensed in
CA, CO
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

12167 Sheridan Blvd
Broomfield, CO 80020-2417
Phone: (303) 658-9807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN.0995946-NP (CO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F05200856 (CA)

Record details

NPI number1679183172
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 9, 2020
Last updated in NPPESAugust 14, 2021
Certification dateAugust 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Boulder Medical Center, Pc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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