Stacy Nelson, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

328483 Issued in AZ

Practice address

2850 E Punta Vis
Kingman, AZ 86409-1583

Phone

(928) 385-6350

NPI assigned

Oct 25, 2012

Last updated

Sep 2, 2025By the provider in NPPES

Sex

Female

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Paz Regional Hospital IncGroup PAC ID 1557273356, 50 clinicians

Aims Physicians and SurgeonsGroup PAC ID 6709770696, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• La Paz Regional Hospital Hospital, Parker, AZ, CCN 031317

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Aims Physicians and Surgeons

  • Family Medicine Physician
  • Kingman, AZ
  • NPI 1073699112
  Medicare reassignment Care Compare group
• La Paz Regional Hospital Inc

  • Critical Access Hospital
  • Parker, AZ
  • NPI 1053684555
  Medicare reassignment Care Compare group
• Arizona Institute of Medicine and Surgery

  • Urgent Care Clinic/Center
  • Kingman, AZ
  • NPI 1881680122
  Medicare reassignment
• La Paz Regional Hospital Inc

  • Urgent Care Clinic/Center
  • Parker, AZ
  • NPI 1598009029
  NPD

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

• La Paz Regional Hospital Inc

  • Critical Access Hospital
  • Parker, AZ
  • NPI 1053684555
  Care Compare affiliation
• La Paz Regional Hospital Inc., Dba Parker Podiatry

  • Podiatrist
  • Parker, AZ
  • NPI 1568875771

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1255684445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 E PUNTA VIS",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864091583",
            "telephone_number": "928-385-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 E PUNTA VIS",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864091583",
            "telephone_number": "928-385-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "STACY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "328483",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "WI",
            "license": "141028-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Neal, PA-C
• Tabitha Lee Ann Neal
• Roger E Nellans, MD
• Donald H Nelson, DO
• Dorothy Denise Nelson, LCSW
• Tosha Nelson
• Neurological & Headache Disorders PC
• Nevada Orthotics & Prosthetics, Inc
• Carol Newmyer, M.D.
• Dung Thi My Ngo, PHARM.D.

• Family Nurse Practitioner in Kingman, AZ
• Providers in Kingman, 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 Sep 2, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.