Individual provider Active NPI

Stacey A. Macpaintsil-Ostrom, MSN, APN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sewell, NJ
National Provider Identifier
1962860601
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00610700 Issued in NJ
Practice address
1474 Tanyard Rd Ste C100
Sewell, NJ 08080-4222
Phone
(855) 932-7476
Fax
(856) 566-6320
NPI assigned
Feb 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00610700 NJ Primary

Addresses

Primary practice location

1474 Tanyard Rd Ste C100
Sewell, NJ 08080-4222

Mailing address

1474 Tanyard Rd Ste C100
Sewell, NJ 08080-4222
Phone (855) 566-6406

Other practice location 1

3322 College Dr Ste C100
Vineland, NJ 08360-6926
Phone (855) 932-7476

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address smacpaintsilostrom291639@directvirtua.org
Direct Messaging Address smacpaintsilostrom291639@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160330000270 NJ Practitioner - Nurse Practitioner 0648577007 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1474 Tanyard Rd
Sewell, NJ 08080-4222

3242 Route 206
Bordentown, NJ 08505-4517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bancroft, a New Jersey Nonprofit Corporation CurrentSince Jun 1, 2016 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Dec 1, 2024 Accepting new patients
Virtua Medical Group, PA CurrentSince Dec 1, 2024 Accepting new patients
Insite Medical NJ PA Psychiatric/Mental Health CurrentSince Jul 1, 2023 Accepting new patients
Insite Medical NJ PA PastSince May 1, 2024 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

2 Split Rock Dr
Ste 5
Cherry Hill, NJ 08003
Phone (833) 494-6724

1255 Caldwell Rd
Cherry Hill, NJ 08034
Phone (856) 348-1137

525 Route 73 N
Ste 302
Marlton, NJ 08053
Phone (833) 464-6724

303 Lippincott Dr
Marlton, NJ 08053

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

3900 Church Rd
Mount Laurel, NJ 08054
Phone (856) 216-8090

666 Plainsboro Rd
Ste 2000C
Plainsboro, NJ 08536
Phone (609) 799-8400

1474 Tanyard Rd
Ste C100
Sewell, NJ 08080
Phone (855) 932-7476

3322 College Dr
Ste C100
Vineland, NJ 08360
Phone (855) 932-7476

1000 White Horse Rd
Ste 802
Voorhees, NJ 08043
Phone (609) 784-7011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26749/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1962860601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1474 TANYARD RD STE C100",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804222",
            "telephone_number": "855-566-6406",
            "fax_number": "856-566-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1474 TANYARD RD STE C100",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804222",
            "telephone_number": "855-932-7476",
            "fax_number": "856-566-6320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3322 College Dr Ste C100",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083606926",
            "country_code": "US",
            "telephone_number": "855-932-7476",
            "fax_number": "856-566-6320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACPAINTSIL-OSTROM",
        "first_name": "STACEY",
        "middle_name": "A.",
        "credential": "MSN, APN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00610700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smacpaintsilostrom291639@directvirtua.org",
            "affiliation": "N",
            "address_1": "1474 Tanyard Rd Ste C100",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smacpaintsilostrom291639@directvirtua.org",
            "affiliation": "N",
            "address_1": "3322 College Dr Ste C100",
            "city": "Vineland",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "083606926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.