Stacy-ann Shand, NURSE PRACTITIONER in Fort Defiance, AZ

Stacy-ann Shand, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Fort Defiance, Arizona. Her current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 729-8000.

Stacy-ann Shand is licensed to practice in Florida (license number ARNP 9280531) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164876405.

Contact Information

	Stacy-ann Shand, NURSE PRACTITIONER
	Corner Of Route N12 And N7, Fort Defiance, AZ 86504
	(928) 729-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacy-ann Shand
Gender	Female
Speciality	Nurse Practitioner - Family
Location	Corner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164876405
Provider Enumeration Date: 04/22/2016
Last Update Date: 07/23/2025

Medicare PECOS Information:

PECOS PAC ID: 2567733587
Enrollment ID: I20190401001346

Medical Identifiers

Medical identifiers for Stacy-ann Shand such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164876405	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	ARNP 9280531 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacy-ann Shand allows following entities to bill medicare on her behalf.

Entity Name	Acoma-canoncito-laguna Indian Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225103922 PECOS PAC ID: 8426951682 Enrollment ID: O20040127001079

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy-ann Shand is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stacy-ann Shand, NURSE PRACTITIONER Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000	Stacy-ann Shand, NURSE PRACTITIONER Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8000

Reviews and Comments

Nurse Practitioner Nurses in Fort Defiance, AZ

Rosemary Josephine Bolza, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Intersection Of Highways 7 And 12, Fort Defiance, AZ 86504 Phone: 928-729-8775
Connie M Ebach, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Mrs. Patricia Nadurak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Corner Of N12 And N8, Fort Defiance, AZ 86504 Phone: 928-729-8000
Jamie S Adams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Corner Routes N7 & N12, Fort Defiance, AZ 86504 Phone: 928-729-8000
June Ellen Rhoda, APRN-NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Melonie I Blancaneaux, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Tseshootsooi Medical Center, Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8587

Stacy-ann Shand, NURSE PRACTITIONER - Medicare Nurse Practitioner in Fort Defiance, AZ