STACEY LADUSCH NP-
NPI 1114767340
Nurse Practitioner - Family in New Hyde Park, NY

Q: What is Stacey Ladusch's NPI number?

The NPI number for Stacey Ladusch is 1114767340. It was assigned to this individual provider in the NPPES registry on May 27, 2024.

Q: What is Stacey Ladusch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Ladusch was last updated on May 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 27, 2024PECOS EnrolledAccepts Medicare Assignment

1991 MARCUS AVE STE 102, NEW HYDE PARK, NY 11042(516) 497-7900 Get Directions Write a Review

NPPES record last updated: May 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stacey Ladusch Np- NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY LADUSCH NP- (NPI 1114767340) is an individual family provider in New Hyde Park, New York, licensed in New York (352858) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114767340

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTACEY LADUSCHCredential: NP-

Location Address1991 MARCUS AVE STE 102New Hyde Park, NY 11042-2062

Mailing Address1 Bell Slip Apt 29gBrooklyn, NY 11222-7640

Phone(516) 497-7900

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMay 27, 2024

NPPES CertifiedNovember 8, 2023

✔ NPI 1114767340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 352858

Also ListedRegistered NurseTaxonomy 163W00000X · License 827629 (NY)

1991 MARCUS AVE STE 102, New Hyde Park, NY 11042

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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

Stacey Ladusch Np- 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.

PECOS PAC ID7810428265

PECOS Enrollment IDI20241009002058

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES PAUL BRADLEY MD

Surgery (Plastic and Reconstructive Surgery)

1991 MARCUS AVE STE 102
NEW HYDE PARK, NY 11042

Nassau County (516) 497-7912

DAVID M. WHITEHEAD M.D.

Surgery (Plastic and Reconstructive Surgery)

1991 MARCUS AVE STE 102
NORTH NEW HYDE PARK, NY 11042

Nassau County (516) 497-7900

MS. NOELLE ASHLEY SYLVAIN NP

Nurse Practitioner (Acute Care)

1991 MARCUS AVE STE 102
NEW HYDE PARK, NY 11042

Nassau County (516) 497-9700

SOPHIA H KWO M.D.

Plastic Surgery

1991 MARCUS AVE STE 102, DIVISION OF PLASTIC SURGERY
NEW HYDE PARK, NY 11042

Nassau County (516) 497-7900

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 Stacey Ladusch's NPI number?

The NPI number for Stacey Ladusch is 1114767340. It was assigned to this individual provider in the NPPES registry on May 27, 2024.

Where is Stacey Ladusch located?

Stacey Ladusch practices at 1991 Marcus Ave Ste 102, New Hyde Park, NY 11042. The listed phone number is (516) 497-7900.

What is Stacey Ladusch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacey Ladusch enrolled in Medicare?

Yes. Stacey Ladusch 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.

When was this NPI record last updated?

The NPPES record for Stacey Ladusch was last updated on May 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.