Nicholas Scott Stagg, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP7427 Issued in AZ

Practice address

1225 Hancock Rd Ste 203
Bullhead City, AZ 86442-5962

Phone

(928) 324-6300

Fax

(928) 324-6301

NPI assigned

Oct 22, 2014

Last updated

Aug 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicholas.stagg@746420271120388.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis Health, LLC

  dba Raya Primary Care

  • Family Nurse Practitioner
  • Bullhead City, AZ
  • NPI 1942069661
  Medicare reassignment NPD
• Kingman Healthcare, Inc

  dba Kingman Regional Medical Center

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Medicare reassignment NPD
• MMG LLC

  dba Mobile Medical Group

  • Nurse Practitioner
  • Bullhead City, AZ
  • NPI 1811614225
  Medicare reassignment NPD
• Kingman Healthcare, Inc

  • Specialist
  • Kingman, AZ
  • NPI 1689897787

  Family

  NPD
• Kingman Healthcare, Inc

  dba KRMC Community Pharmacy

  • Community/Retail Pharmacy
  • Kingman, AZ
  • NPI 1992286298
  NPD
• North Country Healthcare, Inc.

  dba Flagstaff Pediatric Care

  • Pediatrics Physician
  • Flagstaff, AZ
  • NPI 1669911764
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1073917829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 HANCOCK RD STE 203",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425962",
            "telephone_number": "928-324-6300",
            "fax_number": "928-324-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 HANCOCK RD STE 203",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425962",
            "telephone_number": "928-324-6300",
            "fax_number": "928-324-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGG",
        "first_name": "NICHOLAS",
        "middle_name": "SCOTT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-22",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7427",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5811750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Cardiovascular Associates Ahmed Alfafara and Prasad LTD
• Southwest Orthopedic Services LLC
• Southwestern Eye Center LTD (Southwestern Eye Surgicenter-Bullhead)
• St Theresa Hospice LLC (Canyon Home Care & Hospice)
• Nathan Jon Stackhouse
• Jennifer Staggs, MSW, LCSW
• Blake A Stamper, D.O.
• Lisa A Stanley, APN
• Statewide Express Inc
• Kelleen Stiles, PMHNP

• Family Nurse Practitioner in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.