Individual provider Active NPI

Karen Elizabeth Staple, FNP

  • Family Nurse Practitioner
  • Elmont, NY
National Provider Identifier
1376898775
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F337464 Issued in NY
Practice address
34 Cromer Rd E
Elmont, NY 11003-4825
Phone
(877) 258-6331
Fax
(718) 362-1651
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 444135 NY
Family Nurse Practitioner 363LF0000X F337464 NY Primary

Addresses

Primary practice location

34 Cromer Rd E
Elmont, NY 11003-4825

Mailing address

612 Corporate Way
Valley Cottage, NY 10989-2021
Phone (877) 258-6331

Other identifiers 1

IdentifierTypeStateIssuer
00695941MedicaidNY

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
I20130118000002 NY Practitioner - Nurse Practitioner 2163675455 Reassigns benefits to 1 organization
Practice locations: Elmont, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Elmont, NY 11003
Phone (877) 258-6331

Hospital & facility affiliations

  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
444135NYMDRegistered Nurse
F337464NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guttmann Medicine PC CurrentSince Apr 13, 2025 Accepting new patients
Just Care Nurse Practitioner in Family Health Practice PLLC Family CurrentSince Dec 19, 2023 Accepting new patients

Locations

228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436

612 Corporate Way
Vly Cottage, NY 10989

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

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 and National Provider Directory roles.

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": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1376898775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892021",
            "telephone_number": "877-258-6331",
            "fax_number": "718-362-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CROMER RD E",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034825",
            "telephone_number": "877-258-6331",
            "fax_number": "718-362-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLE",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "444135",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

Verify at the official NPI Registry.