Individual provider Active NPI

Shaun Michael Stickley, M.D.

  • Vascular Surgery Physician
  • Reno, NV
National Provider Identifier
1528289808
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
28875 Issued in NV
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

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NV4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20120710000489 TN Practitioner - Vascular Surgery 5496910879 Reassigns benefits to 2 organizations
I20190410001627 MS Practitioner - Vascular Surgery 5496910879 Reassigns benefits to 1 organization
I20260317001177 KY Practitioner - Vascular Surgery 5496910879 Reassigns benefits to 1 organization
I20260421002235 NV Practitioner - Vascular Surgery 5496910879 Reassigns benefits to 1 organization

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
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)19
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28875NVMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pikeville Medical Center Inc. CurrentSince Mar 16, 2026 Accepting new patients
Pikeville Medical Center Inc CurrentSince Mar 16, 2026 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Dec 1, 2018 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Dec 1, 2018 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

  • Direct secure messaging: sstickley33485@mlh.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.