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STACY JILL OSTERHOUDT ACNPC-AG,
NPI 1215628664
Nurse Practitioner - Critical Care Medicine in Boston, MA

Active since May 17, 2023PECOS Enrolled
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG., BOSTON, MA 02118(617) 638-8456(617) 638-8465 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2024, Apr 3, 2024, Dec 13, 2023 and 3 more (6 updates tracked since 2023).

About Stacy Jill Osterhoudt Acnpc-ag, NPPES

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

STACY JILL OSTERHOUDT ACNPC-AG, (NPI 1215628664) is an individual critical care medicine provider in Boston, Massachusetts, licensed in Massachusetts (RN2389809) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215628664
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameSTACY JILL OSTERHOUDTCredential: ACNPC-AG,
Location Address725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.Boston, MA 02118
Mailing Address960 Massachusetts Avenue, Fl 2Boston, MA 02118-2690
Phone(617) 638-8456
Fax(617) 638-8465
Sole ProprietorNo
Enumeration DateMay 17, 2023
Last NPPES UpdateSeptember 18, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1215628664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in MA · RN2389809
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License RN2389809 (MA)
725 ALBANY STREET, SUITE 7B, Boston, MA 02118
Open in Google Maps ↗

Other Identifiers 2

Medicaid110204587AMA
Medicaid3143868NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Jill Osterhoudt Acnpc-ag, is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 02118 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 20

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

LENA GAO LIU MD
Psychiatry & Neurology (Neurology)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Suffolk County (617) 638-8456
BIANCA EVELYN CARSON MD
Psychiatry & Neurology (Neurology)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Suffolk County (617) 638-8456
DR. KARA M SMITH M.D.
Psychiatry & Neurology (Neurology)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Suffolk County (617) 638-8456
DOUGLAS I. KATZ M.D.
Psychiatry & Neurology (Neurology)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Suffolk County (617) 638-8456
DR. RACHEL ALYSSA CAPLAN MD
Psychiatry & Neurology (Neurology)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Suffolk County (617) 638-8456
RITA MARIE TARABELLI NP
Nurse Practitioner (Family)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG.
BOSTON, MA 02118
Suffolk County (617) 638-8456
DR. MARIE-HELENE SAINT-HILAIRE M.D.
Psychiatry & Neurology (Neurology)
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG
BOSTON, MA 02118
Suffolk County (617) 638-8456
IKA NOVIAWATY M.D.
Psychiatry & Neurology (Epilepsy)
725 ALBANY STREET, SUITE 7B, SHAPIRO BUILDING
BOSTON, MA 02118
Suffolk County (617) 638-8456

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 Stacy Osterhoudt's NPI number?

The NPI number for Stacy Osterhoudt is 1215628664. It was assigned to this individual provider in the NPPES registry on May 17, 2023.

Where is Stacy Osterhoudt located?

Stacy Osterhoudt practices at 725 Albany Street, Suite 7B Shapiro Bldg., Boston, MA 02118. The listed phone number is (617) 638-8456.

What is Stacy Osterhoudt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Stacy Osterhoudt enrolled in Medicare?

Yes. Stacy Osterhoudt is registered in the Medicare PECOS enrollment system.

What insurance does Stacy Osterhoudt accept?

Health plans from Anthem Blue Cross and Blue Shield list Stacy Osterhoudt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacy Osterhoudt was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.