Active NPI
Shaun Michael Stickley, M.D.
- Vascular Surgery Physician
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 28875
- Practice address
- 75 Pringle Way Ste 900
Reno, NV 89502-1464 - Phone
- (775) 982-6270
- Fax
- (775) 982-6271
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 28875 | NV | Primary |
Addresses
Primary practice location
75 Pringle Way Ste 900
Reno, NV 89502-1464
Mailing address
1155 Mill St # M14
Reno, NV 89502-1576
Phone (775) 982-6270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, KY, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Cincinnati College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 Baptist Blvd
Suite 401
Columbus, MS 39705-2006
Phone (662) 244-2288
36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-3882
6025 Walnut Grove Rd
Suite 301
Memphis, TN 38120-2123
Phone (901) 226-0456
75 Pringle Way
Suite 900
Reno, NV 89502-1464
Phone (775) 982-6270
911 Bypass Rd
BLDG D
Pikeville, KY 41501-1602
Phone (606) 430-3500
Hospital & facility affiliations
- Baptist Memorial Hospital
- Baptist Memorial Hospital Desoto
- Renown Regional Medical Center
- Pikeville Medical Center
- Baptist Memorial Hospital Tipton
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.87 of 100
- Quality
- 64.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 19 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28875 | NV | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pikeville Medical Center Inc. | Current | Accepting new patients | |
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Baptist Memorial Hospital | Past | Accepting new patients |
Locations
911 Bypass Rd
Bldg D
Pikeville, KY 41501
Phone (606) 430-4673
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
255 Baptist Blvd
Ste 401
Columbus, MS 39705
Phone (662) 244-2288
100 Baptist Memorial Cir
Ste 120
Oxford, MS 38655
Phone (662) 244-2288
401 Southcrest Cir
Ste 201
Southaven, MS 38671
Phone (662) 772-4000
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350
965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221
6025 Walnut Grove Rd
Ste 301
Memphis, TN 38120
Phone (901) 226-0456
8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606
6029 Walnut Grove Rd
Ste 305
Memphis, TN 38120
Phone (901) 226-0533
6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085
Interoperability endpoints
- sstickley33485@mlh.direct-ci.com
- sstickley14752@direct.bmhcc.org
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Pikeville, KY
- NPI 1528195864
-
- Internal Medicine Physician
- Reno, NV
- NPI 1720031768
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1427317908
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Multi-Specialty Clinic/Center
- Cheyenne, WY
- NPI 1891599502
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- General Acute Care Hospital
- Covington, TN
- NPI 1316901937
-
- General Acute Care Hospital
- Pikeville, KY
- NPI 1285621623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1528289808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 MILL ST # M14",
"city": "RENO",
"state": "NV",
"postal_code": "895021576",
"telephone_number": "775-982-6270",
"fax_number": "775-982-6271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 PRINGLE WAY STE 900",
"city": "RENO",
"state": "NV",
"postal_code": "895021464",
"telephone_number": "775-982-6270",
"fax_number": "775-982-6271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STICKLEY",
"first_name": "SHAUN",
"middle_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NV",
"license": "28875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.