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MRS. KATHRYN R STAUDER AGACNP-BC
NPI 1427441153
Nurse Practitioner - Acute Care in Great Neck, NY

Active since March 04, 2015PECOS EnrolledAccepts Medicare Assignment
310 EAST SHORE ROAD, SUITE #104, GREAT NECK, NY 11023(516) 829-9550(516) 829-9718 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kathryn R Stauder Agacnp-bc NPPES

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

MRS. KATHRYN R STAUDER AGACNP-BC (NPI 1427441153) is an individual acute care provider in Great Neck, New York, licensed in New York (430847) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1427441153
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. KATHRYN R STAUDERCredential: AGACNP-BC
Location Address310 EAST SHORE ROAD, SUITE #104Great Neck, NY 11023
Mailing Address310 East Shore Road, Suite #104Great Neck, NY 11023 · (516) 829-9550 · Fax (516) 829-9718
Phone(516) 829-9550
Fax(516) 829-9718
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 4, 2015
Last NPPES UpdateSeptember 28, 2023
✔ NPI 1427441153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · 430847
310 EAST SHORE ROAD, Great Neck, NY 11023
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Kathryn R Davis

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

Mrs. Kathryn R Stauder Agacnp-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 ID4688995574
PECOS Enrollment IDI20170301000931
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
114 services95 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11023 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 9

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

DR. LEWIS MYLES KURTZ MD
Surgery
310 EAST SHORE ROAD, SUITE 203
GREAT NECK, NY 11023
Nassau County (516) 482-8657
DR. LARRY ELI GELLMAN MD
Surgery
310 EAST SHORE ROAD, SUITE 203
GREAT NECK, NY 11023
Nassau County (516) 482-8657
DR. MARC LEHRER GREENWALD MD
Colon & Rectal Surgery
310 EAST SHORE ROAD, SUTE 203
GREAT NECK, NY 11023
Nassau County (516) 482-8657
NORTH SHORE SURGICAL SPECIALISTS, M.D. P.C.
Surgery
310 EAST SHORE ROAD, SUITE 203
GREAT NECK, NY 11023
Nassau County (516) 482-8657
DR. HOWARD IAN NADJARI MD
Surgery
310 EAST SHORE ROAD, SUITE 203
GREAT NECK, NY 11023
Nassau County (516) 482-8657
DR. ROBERT JAN DRING MD
Colon & Rectal Surgery
310 EAST SHORE ROAD, SUITE 203
GREAT NECK, NY 11023
Nassau County (516) 482-8657
DR. DOMINIC ANDREW FILARDI MD
Surgery
310 EAST SHORE ROAD, SUITE 203
GREAT NECK, NY 11023
Nassau County (516) 482-8657
DR. DOMINICK GADALETA MD
Surgery
310 EAST SHORE ROAD, SUIITE 203
GREAT NECK, NY 11023
Nassau County (516) 482-8657

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 Kathryn Stauder's NPI number?

The NPI number for Kathryn Stauder is 1427441153. It was assigned to this individual provider in the NPPES registry on March 4, 2015. The provider is also known as Mrs. Kathryn R Davis.

Where is Kathryn Stauder located?

Kathryn Stauder practices at 310 East Shore Road Suite #104, Great Neck, NY 11023. The listed phone number is (516) 829-9550.

What is Kathryn Stauder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kathryn Stauder enrolled in Medicare?

Yes. Kathryn Stauder 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.

Is Kathryn Stauder affiliated with any hospitals?

According to CMS data, Kathryn Stauder is affiliated with Long Island Community Hospital and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Kathryn Stauder was last updated on September 28, 2023. 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.