STACY COLWELL
NPI 1356876254
Nurse Practitioner - Family in Kirkwood, NY
About Stacy Colwell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY COLWELL (NPI 1356876254) is an individual family provider in Kirkwood, New York, licensed in New York (341924) and active in the NPI registry since April 2017. She has opted out of Medicare through July 23, 2027.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Stacy Colwell has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 23, 2025 through July 23, 2027.
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 Colwell's NPI number?
The NPI number for Stacy Colwell is 1356876254. It was assigned to this individual provider in the NPPES registry on April 28, 2017.
Where is Stacy Colwell located?
Stacy Colwell practices at 865 Us Route 11, Kirkwood, NY 13795. The listed phone number is (607) 775-1771.
What is Stacy Colwell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacy Colwell enrolled in Medicare?
No. Stacy Colwell has opted out of Medicare through July 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Stacy Colwell was last updated on June 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Stacy Colwell · NPI 1356876254
Family physician in Kirkwood, New York. Individual provider, active in the CMS NPPES registry since April 28, 2017.
## Identity
- **NPI:** 1356876254 (Entity type: Individual)
- **Enumerated:** April 28, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 341924 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 865 US ROUTE 11, Kirkwood, NY 13795-1001
- **Phone:** (607) 775-1771
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 23, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** June 30, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1356876254) · Data from the CMS NPPES public registry.