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MRS. STACY-ANN GERDINE JARRETT FNP
NPI 1225394422
Specialist in Amityville, NY

Active since April 02, 2012PECOS Enrolled
615 BROADWAY APT 74, AMITYVILLE, NY 11701(134) 764-5933 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Stacy-ann Gerdine Jarrett Fnp NPPES

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

MRS. STACY-ANN GERDINE JARRETT FNP (NPI 1225394422) is an individual specialist in Amityville, New York, licensed in New York (F3369-1) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225394422
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. STACY-ANN GERDINE JARRETTCredential: FNP
Location Address615 BROADWAY APT 74Amityville, NY 11701-2142
Mailing Address615 Broadway Apt 74Amityville, NY 11701-2142 · (134) 764-5933
Phone(134) 764-5933
Sole ProprietorNo
Enumeration DateApril 2, 2012
✔ NPI 1225394422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · F3369-1
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F3369-1 (NY)
615 BROADWAY APT 74, Amityville, NY 11701
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Stacy-ann Gerdine Jarrett Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Stacy-ann Jarrett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore - Lij Medical PC
16 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier12 claims12 services$6.42 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
1 supplier121 claims41,610 services$1.22 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier80 claims11,140 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims810 services$0.55 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers54 claims9,840 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier88 claims88 services$18.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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-ann Jarrett's NPI number?

The NPI number for Stacy-ann Jarrett is 1225394422. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is Stacy-ann Jarrett located?

Stacy-ann Jarrett practices at 615 Broadway Apt 74, Amityville, NY 11701. The listed phone number is (134) 764-5933.

What is Stacy-ann Jarrett's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Stacy-ann Jarrett enrolled in Medicare?

Yes. Stacy-ann Jarrett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacy-ann Jarrett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy-ann Jarrett reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy-ann Jarrett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacy-ann Jarrett was last updated on April 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.