KELSEY MARIE STACK D.O.
NPI 1033344049
Emergency Medicine in Syracuse, NY
About Kelsey Marie Stack D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY MARIE STACK D.O. (NPI 1033344049) is an individual emergency medicine provider in Syracuse, New York, licensed in New York (262832) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2009).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelsey Marie Stack D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Hospital S U N Y Health Science Center
Acute Care Hospitals · Syracuse, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SYRACUSE, NY 13210
SYRACUSE, NY 13210
SYRACUSE, NY 13210
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelsey Stack's NPI number?
The NPI number for Kelsey Stack is 1033344049. It was assigned to this individual provider in the NPPES registry on May 19, 2009.
Where is Kelsey Stack located?
Kelsey Stack practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-5136.
What is Kelsey Stack's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kelsey Stack enrolled in Medicare?
Yes. Kelsey Stack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Kelsey Stack affiliated with any hospitals?
According to CMS data, Kelsey Stack is affiliated with University Hospital S U N Y Health Science Center.
When was this NPI record last updated?
The NPPES record for Kelsey Stack was last updated on August 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelsey Marie Stack, D.O. · NPI 1033344049
Emergency Medicine physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since May 19, 2009.
## Identity
- **NPI:** 1033344049 (Entity type: Individual)
- **Enumerated:** May 19, 2009
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 262832 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 750 E ADAMS ST, Syracuse, NY 13210-2342
- **Phone:** (315) 464-5136
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2009
## Record status
- **NPPES last updated:** August 31, 2012
- **Other identifiers:** Medicaid 03428026 (NY); Medicare PIN J400073096 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1033344049) · Data from the CMS NPPES public registry.