NPIMap

Individual provider Active NPI

Stephen W Shanks, DO

  • Family Medicine Physician
  • Shiprock, NM
National Provider Identifier
1114346129
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2022-0050 Issued in NM
Practice address
PO Box 160
Shiprock, NM 87420-0160
Phone
(505) 326-6001
NPI assigned
Apr 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2015-01973 NC
Family Medicine Physician 207Q00000X DO2022-0050 NM Primary

Addresses

Primary practice location

PO Box 160
Shiprock, NM 87420-0160

Mailing address

1643 NW 136TH Ave
Sunrise, FL 33323-3091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171018000588 TX Practitioner - Family Practice 9931326667 Reassigns benefits to 1 organization
I20220615001512 NM Practitioner - Family Practice 9931326667 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cura HealthcareGroup PAC ID 5799143103, 81 clinicians
DHHS PHS Naihs Shiprock HospitalGroup PAC ID 0749193837, 148 clinicians

Practice addresses (Care Compare)

Albuquerque, NM 87110
Phone (505) 413-3719

Highway 491
Shiprock, NM 87420-0160
Phone 50536860016401

P O Box
160 Attn Business Office
Shiprock, NM 87420-0160

PO Box
Suite 160
Shiprock, NM 87420-0160

Hospital & facility affiliations

  • Ricelands Home Health Care and Hospice, LLC Home health agency, Rio Rancho, NM, CCN 327806
  • San Juan Regional Medical Center Inc Hospital, Farmington, NM, CCN 320005
  • Northern Navajo Medical Center Hospital, Shiprock, NM, CCN 320059
  • San Juan Care Center Nursing home, Farmington, NM, CCN 325085
  • Farmington Wellness & Rehabilitation Nursing home, Farmington, NM, CCN 325133
  • Life Care Center of Farmington Nursing home, Farmington, NM, CCN 325103

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
74.27
Improvement activities
40
Cost
78.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2015-01973NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS, PHS, Naihs, Shiprock Hospital Current Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 19, 2017 Accepting new patients
NM Pacs 2 LLC CurrentSince Jun 6, 2022 Accepting new patients
CS Pacs 3 West LLC CurrentSince Sep 9, 2024 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 19, 2017 Accepting new patients
New Mexico Pac Services PC CurrentSince Jun 6, 2022 Accepting new patients
Farmington Operations LLC Past Accepting new patients
Welbrook Senior Living Farmington LLC Past Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital Past Accepting new patients
San Juan Care Center LLC Past Accepting new patients

Locations

7900 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 296-5565

7208 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 821-1200

800 Saguaro Trl
Farmington, NM 87401
Phone (505) 598-6000

1101 W Murray Dr
Farmington, NM 87401
Phone (505) 326-1600

3025 Terrace Dr
Las Cruces, NM 88011
Phone (575) 522-1362

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
San Juan Care CenterFarmington, NM, CCN 325085 Skilled nursing facility Adp of the SNF Sep 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1114346129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 NW 136TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874200160",
            "telephone_number": "505-326-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "STEPHEN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2015-01973",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "DO2022-0050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shiprock, NM

Sources for this page

Verify at the official NPI Registry.