STACEY MAE PERROTTA NP
NPI 1174258966
Nurse Practitioner - Psychiatric/Mental Health in Rochester, NY

Active since July 18, 2022PECOS EnrolledAccepts Medicare Assignment
1081 LONG POND RD STE 100, ROCHESTER, NY 14626(585) 371-6464(585) 371-6464 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2023, Nov 15, 2022, Jul 18, 2022 (3 updates tracked since 2022).

About Stacey Mae Perrotta Np NPPES

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

STACEY MAE PERROTTA NP (NPI 1174258966) is an individual psychiatric/mental health provider in Rochester, New York, licensed in New York (F404153-01) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174258966
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTACEY MAE PERROTTACredential: NP
Location Address1081 LONG POND RD STE 100Rochester, NY 14626-5002
Mailing Address1081 Long Pond Rd Ste 100Rochester, NY 14626-5002 · (585) 371-6464 · Fax (585) 371-6464
Fax(585) 371-6464
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 18, 2022
Last NPPES UpdateMarch 25, 20243 updates tracked since enumeration
NPPES CertifiedMarch 25, 2024
NPI 1174258966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · F404153-01
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 404153 (NY)
1081 LONG POND RD STE 100, Rochester, NY 14626

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 Mae Perrotta 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 ID2365811528
PECOS Enrollment IDI20221209000507
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 14626 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 10

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

Social Worker
1081 LONG POND RD STE 100
ROCHESTER, NY 14626
Counselor (Mental Health)
1081 LONG POND RD STE 100
ROCHESTER, NY 14626
Counselor (Mental Health)
1081 LONG POND RD STE 100
ROCHESTER, NY 14626
Nurse Practitioner (Psychiatric/Mental Health)
1081 LONG POND RD STE 100
ROCHESTER, NY 14626
Counselor (Mental Health)
1081 LONG POND RD STE 100
ROCHESTER, NY 14626
Counselor (Mental Health)
1081 LONG POND RD STE 100
ROCHESTER, NY 14626
Counselor (Mental Health)
1081 LONG POND RD STE 100
ROCHESTER, NY 14626
Nurse Practitioner (Psychiatric/Mental Health)
1081 LONG POND RD STE 100
ROCHESTER, NY 14626

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 Perrotta's NPI number?

The NPI number for Stacey Perrotta is 1174258966. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Stacey Perrotta located?

Stacey Perrotta practices at 1081 Long Pond Rd Ste 100, Rochester, NY 14626. The listed phone number is (585) 371-6464.

What is Stacey Perrotta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stacey Perrotta enrolled in Medicare?

Yes. Stacey Perrotta 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 Perrotta was last updated on March 25, 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.