Individual provider Active NPI

Stacey M Carey, FNP-C

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1336861244
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0031421 Issued in OH
Practice address
1161 Bethel Rd Ste 203
Columbus, OH 43220-2773
Phone
(614) 459-0350
Fax
(614) 459-0355
NPI assigned
Sep 16, 2022
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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 APRN.CNP.0031421 OH Primary

Addresses

Primary practice location

1161 Bethel Rd Ste 203
Columbus, OH 43220-2773

Mailing address

3800 Zuber Rd
Orient, OH 43146-9407
Phone (614) 323-2759

Other names 1

  • Miss Stacey M Harness Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20231027003074 OH Practitioner - Nurse Practitioner 2466808316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Symptom Relief LLCGroup PAC ID 6204951767, 7 clinicians

Practice addresses (Care Compare)

1161 Bethel Rd
Unit 203 204
Columbus, OH 43220-2773
Phone (614) 459-0350

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0031421OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Symptom Relief LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

1161 Bethel Rd
Ste 203
Columbus, OH 43220
Phone (614) 459-0350

1161 Bethel Rd
Ste 203204
Columbus, OH 43220
Phone (614) 459-0350

1161 Bethel Rd
Unit 203204
Columbus, OH 43220
Phone (614) 450-0350

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCJAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCJAA/Endpoint/BFCJAA
  • Direct secure messaging: stacey.carey@csr.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1336861244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 ZUBER RD",
            "city": "ORIENT",
            "state": "OH",
            "postal_code": "431469407",
            "telephone_number": "614-323-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 BETHEL RD STE 203",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202773",
            "telephone_number": "614-459-0350",
            "fax_number": "614-459-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY",
        "first_name": "STACEY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0031421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "HARNESS",
            "middle_name": "M",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.