Stacey M Jantsch, AGNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

310040 Issued in NY

Practice address

169 Madison Ave Ste 2817
New York, NY 10016-5101

Phone

(888) 553-2823

Fax

(888) 553-2823

NPI assigned

Oct 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY, FL, CT, NE, DC, AZ, MI, OH, NJ, IL, PA, IA, MA13 enrollments

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 13

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: ms_sjantsch@landmarkhealth-direct.org

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.

• Associated Gastroenterologists of Central New York, PC

  • Gastroenterology Physician
  • Camillus, NY
  • NPI 1013938174
  Medicare reassignment NPD
• Careathome Medical Practice Ky

  • Family Medicine Physician
  • New York, NY
  • NPI 1467040345

  AZ, CT, IA, IL, MI, NE, Nurse Practitioner, OH

  Medicare reassignment NPD
• Five Star Medical Office PC

  • Internal Medicine Physician
  • Forest Hills, NY
  • NPI 1760731459
  Medicare reassignment NPD
• Careathome Medical Practice (Ma), P.C.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1477123321
  Medicare reassignment NPD
• Careathome Medical Practice NJ

  • Internal Medicine Physician
  • Montclair, NJ
  • NPI 1659974301
  Medicare reassignment NPD
• Caringathome, LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1912595828

  DC, Nurse Practitioner

  Medicare reassignment NPD
• Perfect Health PC

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1861815300
  Medicare reassignment NPD
• Urban Family Practice PC

  • In Home Supportive Care Agency
  • Baltimore, MD
  • NPI 1164594099

  Nurse Practitioner, NY

  Medicare reassignment NPD
• Careathome Medical Practice

  • Internal Medicine Physician
  • New York, NY
  • NPI 1891319810

  Family

  NPD

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1861091324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 2817",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "888-553-2823",
            "fax_number": "888-553-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 2817",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "888-553-2823",
            "fax_number": "888-553-2823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132031807",
            "country_code": "US",
            "telephone_number": "315-430-4874",
            "fax_number": "315-448-2762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2723 S State St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481046188",
            "country_code": "US",
            "telephone_number": "888-553-2823",
            "fax_number": "888-553-2823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S Ashley Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336025300",
            "country_code": "US",
            "telephone_number": "888-553-2823",
            "fax_number": "888-553-2823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8825 N 23rd Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850214148",
            "country_code": "US",
            "telephone_number": "888-553-2823",
            "fax_number": "888-553-2823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Superior Ave E Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441142654",
            "country_code": "US",
            "telephone_number": "888-553-2823",
            "fax_number": "888-553-2823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 Tresser Blvd Ofc 961B",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069013236",
            "country_code": "US",
            "telephone_number": "888-553-2823",
            "fax_number": "888-553-2823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANTSCH",
        "first_name": "STACEY",
        "middle_name": "M",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-25",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704415079",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310040-01",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "310040",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "310040",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "310040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055828",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06431149",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D401115801",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861091324",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Elisa Janson, D.P.M.
• Elaine Parry Janssen
• Elizabeth Fellows Janssen, M.A., A.P.R.N.,B.C.
• Pierce Janssen, MD
• Yvette Goertz Janssen, M.D.
• Jennifer K Jantz, M.D.
• Kathleen Jantzen, PH.D.
• Gipsa Januarios, FNP
• Janus Psychological Services, PLLC
• Megan Januska, MD

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.

Verify at the official NPI Registry.