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Stacy McShane

Case Manager/Care Coordinator in Jonesboro, AR. Individual provider (NPI-1).

NPI number1013318005
StatusActive
Last updated in NPPESSep 9, 2014

Details

NPI
1013318005
Entity type
Individual (NPI-1)
Name
Stacy McShane
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 9, 2014
Last updated
Sep 9, 2014

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

2707 Browns Ln
Jonesboro, AR 72401-7213

Phone 870-972-4939

Mailing address

2707 Browns Ln
Jonesboro, AR 72401-7213

Phone 870-972-4939

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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