Stacie R Shaw, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601005068 Issued in MI

Practice address

106 S School Road
Daggett, MI 49821

Phone

(906) 753-2155

Fax

(906) 753-2716

NPI assigned

Aug 30, 2006

Last updated

Jan 5, 2026By 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

Other identifiers 3

Other names 1

• Stacie R Murray Former name

Medicare fee-for-service enrollment

Enrolled in WI, MI2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oconto Hospital and Medical Center IncGroup PAC ID 2163461781, shared by 12 NPIs, 217 clinicians

Bellin Memorial Hospital IncGroup PAC ID 8820900749, shared by 10 NPIs, 685 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Up Health System Home Care and Hospice Home health agency, Marquette, MI, CCN 237093
• Osf St Francis Hospital Home Health Care Home health agency, Escanaba, MI, CCN 237239
• Aurora Medical Center Bay Area Hospital, Marinette, WI, CCN 520113
• Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smurray33104@direct.thedacare.org
• Direct secure messaging: smurray916637@direct.emplifyhealth.org

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.

• Oconto Hospital & Medical Center, Inc.

  dba Bellin Health Menominee

  • Rural Health Clinic/Center
  • Menominee, MI
  • NPI 1356799969
  Medicare reassignment NPD
• Oconto Hospital & Medical Center Inc

  dba Emplify Health Oconto Hospital

  • Critical Access Hospital
  • Oconto, WI
  • NPI 1356373302
  Medicare reassignment NPD
• Bellin Memorial Hospital Inc

  dba Bellin Health Heart & Vascular Crystal Falls

  • Cardiovascular Disease Physician
  • Crystal Falls, MI
  • NPI 1376649509
  Medicare reassignment
• Bellin Memorial Hospital Inc

  dba Bellin Health Algoma

  • Rural Health Clinic/Center
  • Algoma, WI
  • NPI 1609838473
  Medicare reassignment
• Bellin Memorial Hospital Inc

  dba FMC Iron Mountain

  • Family Medicine Physician
  • Iron Mountain, MI
  • NPI 1790045078
  NPD
• Bellin Memorial Hospital Inc

  dba Bellin Health

  • Family Medicine Physician
  • Green Bay, WI
  • NPI 1033172390
  NPD
• Bellin Memorial Hospital Inc

  dba FMC Luxemburg

  • Family Medicine Physician
  • Luxemburg, WI
  • NPI 1295797975
  NPD
• Northreach Healthcare, LLC

  dba Daggett Medical Clinic

  • Family Medicine Physician
  • Daggett, MI
  • NPI 1033261623
  NPD (past)

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

• Michigan in-Home Partner-I, LLC

  dba UP Health System Home Care and Hospice

  • Home Health Agency
  • Marquette, MI
  • NPI 1457899668
  Care Compare affiliation
• St Francis Hospital

  dba OSF St. Francis Hospital Home Health Care

  • Home Health Agency
  • Escanaba, MI
  • NPI 1033157037
  Care Compare affiliation
• Aurora Medical Center Bay Area, Inc

  • General Acute Care Hospital
  • Marinette, WI
  • NPI 1043397177
  Care Compare affiliation
• Aurora Medical Center Bay Area, Inc

  dba Aurora Medical Center Bay Area Clinical Medical Laboratory

  • Clinical Medical Laboratory
  • Marinette, WI
  • NPI 1083791115

  Hospital

  Care Compare affiliation
• Aurora Medical Center Bay Area, Inc

  dba Aurora Medical Center Bay Area

  • Land Ambulance
  • Marinette, WI
  • NPI 1427135557

  Hospital

  Care Compare affiliation
• Bellin Memorial Hospital Inc.

  • General Acute Care Hospital
  • Green Bay, WI
  • NPI 1891740585
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1689784837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013505",
            "telephone_number": "920-433-7860",
            "fax_number": "920-433-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S SCHOOL ROAD",
            "city": "DAGGETT",
            "state": "MI",
            "postal_code": "49821",
            "telephone_number": "906-753-2155",
            "fax_number": "906-753-2716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1976 Lime Kiln Rd",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543114417",
            "country_code": "US",
            "telephone_number": "920-445-7377",
            "fax_number": "920-592-9479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 Shawano Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543032606",
            "country_code": "US",
            "telephone_number": "920-592-9478",
            "fax_number": "920-592-9479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "STACIE",
        "middle_name": "R",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1117",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL COMMISSION ON CERTIFIED PHYSICIANS ASSISTANTS",
            "identifier": "1031550",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42982000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN MEDICARE",
            "identifier": "0N41200012",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "MURRAY",
            "middle_name": "R",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul A Haupt, D.O.
• Sandra Kuntze, RN
• Northreach Healthcare, LLC (Daggett Medical Clinic)
• Oconto Hospital & Medical Center, Inc. (Bellin Health Daggett)
• Oconto Hospital & Medical Center, Inc. (Bellin Health Daggett)

• Physician Assistant in Daggett, MI
• Providers in Daggett, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.