CAROLYN A STICKNEY MD
NPI 1154535318
Pediatrics - Pediatric Critical Care Medicine in Boston, MA

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment
333 LONGWOOD AVE, LO 011, CRITICAL CARE MEDICINE, BOSTON CHILDREN'S HOSPITAL, BOSTON, MA 02115(617) 355-4480 Get Directions Write a Review

NPPES record last updated: August 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolyn A Stickney Md NPPES

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

CAROLYN A STICKNEY MD (NPI 1154535318) is an individual pediatric critical care medicine provider in Boston, Massachusetts, licensed in Massachusetts (240053) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2004).

NPPES Registry Identity

NPI1154535318
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameCAROLYN A STICKNEYCredential: MD
Location Address333 LONGWOOD AVE, LO 011, CRITICAL CARE MEDICINE, BOSTON CHILDREN'S HOSPITALBoston, MA 02115-5724
Mailing Address333 Longwood Ave, Lo 011, Medicine Critical Care Children's Hospital BostonBoston, MA 02115-5724
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2004
Enumeration DateMay 9, 2007
Last NPPES UpdateAugust 7, 2015
NPI 1154535318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in MA · 240053
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 57.009030 (OH)
Also ListedPediatricsTaxonomy 208000000X · License 57.009030 (OH)
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 35-091362 (OH)
333 LONGWOOD AVE, LO 011, Boston, MA 02115

Other Identifiers 3

Medicare PINST4236861OH
Other9959153OH · Aetna
Medicaid2839192OH

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

Carolyn A Stickney Md 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 ID244302537
PECOS Enrollment IDI20121025000029
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.

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 Carolyn Stickney's NPI number?

The NPI number for Carolyn Stickney is 1154535318. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Carolyn Stickney located?

Carolyn Stickney practices at 333 Longwood Ave, Lo 011 Critical Care Medicine, Boston Children's Hospital, Boston, MA 02115. The listed phone number is (617) 355-4480.

What is Carolyn Stickney's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Carolyn Stickney enrolled in Medicare?

Yes. Carolyn Stickney 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 Carolyn Stickney was last updated on August 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.