Individual provider Active NPI

Stacey Ryan, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Ogdensburg, NY
National Provider Identifier
1427583111
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402278-1 Issued in NY
Practice address
221 Hamilton St
Ogdensburg, NY 13669-1707
Phone
(315) 393-3072
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 715179 NY
Psychiatric/Mental Health Registered Nurse 163WP0808X 129325 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402278-1 NY Primary

Addresses

Primary practice location

221 Hamilton St
Ogdensburg, NY 13669-1707

Mailing address

221 Hamilton St
Ogdensburg, NY 13669-1707
Phone (315) 393-3072

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
I20180628002644 NY Practitioner - Nurse Practitioner 1951657279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Helpers Care IncGroup PAC ID 2264408426, 8 clinicians

Practice addresses (Care Compare)

22 State Hwy 310
Canton, NY 13617-1459
Phone (315) 386-0264

8101 State Hwy 68
Ogdensburg, NY 13669-4403
Phone (315) 541-3042

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
129325CTMDPsychiatric/Mental Health Registered Nurse
715179NYMDPsychiatric/Mental Health Registered Nurse
F402278-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Helpers Care Inc CurrentSince Apr 27, 2022 Accepting new patients
United Helpers Care Inc CurrentSince Apr 27, 2022 Accepting new patients
United Helpers Care Inc Current Accepting new patients

Locations

221 Hamilton St
Ogdensburg, NY 13669
Phone (315) 393-3072

Interoperability endpoints

  • Direct secure messaging: slryan1@hiemail.healtheconnections.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1427583111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 HAMILTON ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691707",
            "telephone_number": "315-393-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 HAMILTON ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691707",
            "telephone_number": "315-393-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "STACEY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "715179",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CT",
            "license": "129325",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402278-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogdensburg, NY

Sources for this page

Verify at the official NPI Registry.