MR. JOHN ANTHONY STAGG PMHNP-BC
NPI 1316689631
Nurse Practitioner - Psychiatric/Mental Health in Hamburg, NY

Active since April 07, 2022PECOS EnrolledAccepts Medicare Assignment
4050 LAKE SHORE RD APT 132, HAMBURG, NY 14075(716) 935-0508 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. John Anthony Stagg Pmhnp-bc NPPES

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

MR. JOHN ANTHONY STAGG PMHNP-BC (NPI 1316689631) is an individual psychiatric/mental health provider in Hamburg, New York, licensed in New York (403753) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1316689631
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. JOHN ANTHONY STAGGCredential: PMHNP-BC
Location Address4050 LAKE SHORE RD APT 132Hamburg, NY 14075-1740
Mailing Address4050 Lake Shore Rd Apt 132Hamburg, NY 14075-1740 · (716) 935-0508
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 7, 2022
NPPES CertifiedApril 7, 2022
NPI 1316689631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 403753
4050 LAKE SHORE RD APT 132, Hamburg, NY 14075

Accepted Insurance

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

Mr. John Anthony Stagg Pmhnp-bc 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 ID1456730431
PECOS Enrollment IDI20220622000789
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
116 services15 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
63 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14075 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.

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 John Stagg's NPI number?

The NPI number for John Stagg is 1316689631. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is John Stagg located?

John Stagg practices at 4050 Lake Shore Rd Apt 132, Hamburg, NY 14075. The listed phone number is (716) 935-0508.

What is John Stagg's specialty?

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

Is John Stagg enrolled in Medicare?

Yes. John Stagg 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.

What insurance does John Stagg accept?

Health plans from Providence Health Plan list John Stagg 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 John Stagg was last updated on April 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.