Shane Austin Stanford, ACAGNP
Shane Austin Stanford, ACAGNP is a Nurse Practitioner in Hannibal, Missouri. Qualified in 2025, 1 year ago. Practices with Hannibal Regional Healthcare System Inc, a 259-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 1
- Licensed in
- MO
- In the registry since
- 2026
Practice location Address checks out
6000 Hospital DrHannibal, MO 63401-6887
Phone: (573) 248-5211
Fax: (573) 248-5210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 2026001767 (MO) |
|---|
Record details
| NPI number | 1871452680 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ACAGNP |
| Sole proprietor | No |
| NPI enumerated | January 17, 2026 |
| Last updated in NPPES | March 12, 2026 |
| Certification date | March 12, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Hannibal Regional Healthcare System Inc — 259 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Hannibal
-
Mrs. Lauren N. Brandenburger, ACNP-BC
100 Medical Dr, Hannibal, MO 63401-6877 · (573) 221-5250
-
Alyssa Crowe, ACNP
100 Medical Dr, Hannibal, MO 63401-6877 · (573) 221-5250
-
Jessica Nichole Mickels, RNFA
6000 Hospital Dr, Hannibal, MO 63401-6887 · (573) 248-5115
-
Elizabeth Anne Smith, MSN, AGACNP-BC
6000 Hospital Dr, Hannibal, MO 63401-6887 · (573) 248-5211
-
Ivy C Tobin
6500 Hospital Dr, Hannibal, MO 63401-6890 · (573) 629-3500