Individual provider Active NPI

Stayce Lea Huynh, FNP-C

  • Family Nurse Practitioner
  • Cicero, NY
National Provider Identifier
1184910937
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
336819 Issued in NY
Practice address
8003 Brewerton Rd
Cicero, NY 13039-9528
Phone
(315) 288-4006
NPI assigned
Jun 21, 2011
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 336819 NY Primary

Addresses

Primary practice location

8003 Brewerton Rd
Cicero, NY 13039-9528

Mailing address

9456 Bartel Rd
Brewerton, NY 13029-9649
Phone (585) 719-7757

Other practice location 1

9456 Bartel Rd
Brewerton, NY 13029-9649
Phone (585) 719-7757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20111107000660 NY Practitioner - Nurse Practitioner 1052584075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zaki Badawy, MD PCGroup PAC ID 9234576844, 18 clinicians

Practice addresses (Care Compare)

5586 Legionnaire Dr
Suite 3
Cicero, NY 13039-3504
Phone (315) 632-6066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
336819NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Aug 1, 2018 Accepting new patients
Zaki Badawy, MD PC CurrentSince Mar 8, 2025 Accepting new patients

Locations

5301 W Genesee St
Ste 50
Camillus, NY 13031
Phone (315) 832-9867

5586 Legionnaire Dr
Ste 3
Cicero, NY 13039
Phone (315) 632-6066

8003 Brewerton Rd
Cicero, NY 13039
Phone (315) 288-4006

6333 State Route 298
Ste 102
East Syracuse, NY 13057
Phone (315) 760-5036

830 County Road 64
Elmira, NY 14903
Phone (607) 739-0495

830 County Road 64
#19C
Elmira, NY 14903
Phone (607) 846-2030

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

8100 Oswego Rd
Ste 140
Liverpool, NY 13090
Phone (315) 470-7364

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1184910937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9456 BARTEL RD",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130299649",
            "telephone_number": "585-719-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8003 BREWERTON RD",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130399528",
            "telephone_number": "315-288-4006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9456 Bartel Rd",
            "address_purpose": "LOCATION",
            "city": "Brewerton",
            "state": "NY",
            "postal_code": "130299649",
            "country_code": "US",
            "telephone_number": "585-719-7757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "STAYCE",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, NY

Sources for this page

Verify at the official NPI Registry.