Individual provider Active NPI

Stacey Rose Petrell, RN

  • Registered Nurse
  • Cheektowaga, NY
National Provider Identifier
1548165517
Registry record updated Oct 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
795847 Issued in NY
Practice address
105 Montfort Dr Apt Left
Cheektowaga, NY 14225-1337
Phone
(716) 866-8261
NPI assigned
Oct 10, 2026
Last updated
Oct 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 795847 NY Primary

Addresses

Primary practice location

105 Montfort Dr Apt Left
Cheektowaga, NY 14225-1337

Mailing address

105 Montfort Dr Apt Left
Cheektowaga, NY 14225-1337
Phone (716) 866-8261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
795847NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791590400000",
    "number": "1548165517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MONTFORT DR APT LEFT",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251337",
            "telephone_number": "716-866-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MONTFORT DR APT LEFT",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251337",
            "telephone_number": "716-866-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRELL",
        "first_name": "STACEY",
        "middle_name": "ROSE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "795847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.