Stacey Lynn Hildebrand, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

304059 Issued in NY

Practice address

34 W 27TH St Ste 1201
New York, NY 10001-6907

Phone

(516) 717-4114

NPI assigned

Jul 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23033/brand/1/csg/1/fhir/r4

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.

• Island Interventional Pain Management PLLC

  • Specialist
  • Mineola, NY
  • NPI 1033599683
  Medicare reassignment NPD
• Kalter Physical Medicine & Rehabilitation PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Smithtown, NY
  • NPI 1720526999
  Medicare reassignment NPD
• Long Island Physician Associates, PLLC

  • Surgery Physician
  • Port Jefferson, NY
  • NPI 1871906941
  Medicare reassignment NPD
• North Shore Hematology Oncology Associates PC

  • Specialist
  • Port Jefferson Station, NY
  • NPI 1396794574
  Medicare reassignment NPD
• Sayville Medical and Rehab PC

  • Physical Medicine & Rehabilitation Physician
  • Sayville, NY
  • NPI 1134659386
  Medicare reassignment NPD
• Setauket Medical & Rehabilitation PC

  dba Thrive Medical of Setauket

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • East Setauket, NY
  • NPI 1811509409
  NPD
• MK Spine and Joint Rehab, P.C.

  • Pain Clinic/Center
  • Hauppauge, NY
  • NPI 1699239715
  NPD (past)
• VP Medical, PC

  • Internal Medicine Physician
  • Smithtown, NY
  • NPI 1225381239
  NPD (past)

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1407010655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 W 27TH ST STE 120112TH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016907",
            "telephone_number": "516-717-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W 27TH ST STE 1201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016907",
            "telephone_number": "516-717-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDEBRAND",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jhoanne Faith Hilario, RN, MS, AGACNP-BC
• Timothy Patrick Hilbert, M.D.
• Flannery Hild
• Hilda Pharmacy LLC (Hilda Pharmacy)
• Lynne Marie Hildebrand, MD
• Thomas Benjamin Hildebrandt, PSYD
• Jennifer Hildner
• Alan Edward Hilfer, PH.D.
• Carol Linda Hilfer, M.D
• Karin E Hilfiker, PT

• Adult Health Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.