Active NPI
Karen Elizabeth Staple, FNP
- Family Nurse Practitioner
- Elmont, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F337464
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00695941 | Medicaid | NY |
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
Enrollment records 1
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 444135 | NY | MD | Registered Nurse |
| F337464 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guttmann Medicine PC | Current | Accepting new patients | |
| Just Care Nurse Practitioner in Family Health Practice PLLC | Family | Current | 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.
-
- Family Nurse Practitioner
- Elmont, NY
- NPI 1609698802
-
- Multi-Specialty Clinic/Center
- Staten Island, NY
- NPI 1447984695
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Staten Island, NY
- NPI 1841233178
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.