MRS. KATHRYN R STAUDER AGACNP-BC
NPI 1427441153
Nurse Practitioner - Acute Care in Great Neck, NY
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kathryn Stauder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roslyn, NY 11576
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Chs Physician Partners PC
- 944 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 2,450 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NYNyu Langone Hospitals
Acute Care Hospitals · New York, NYPhysician 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.
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.
GREAT NECK, NY 11023
GREAT NECK, NY 11023
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.
Which organizations bill Medicare for Kathryn Stauder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Stauder reassigns Medicare benefits to 2 organizations: Chs Physician Partners, P.C (Roslyn, NY) and New York University (Boynton Beach, FL). Each 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 Kathryn Stauder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 3 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.
# Mrs. Kathryn R Stauder, AGACNP-BC · NPI 1427441153
Acute Care physician in Great Neck, New York. Individual provider, active in the CMS NPPES registry since March 4, 2015.
## Identity
- **NPI:** 1427441153 (Entity type: Individual)
- **Enumerated:** March 4, 2015
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 430847 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 310 EAST SHORE ROAD, SUITE #104, Great Neck, NY 11023
- **Phone:** (516) 829-9550 · **Fax:** (516) 829-9718
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Chs Physician Partners, P.C (NPI 1164585725, Roslyn, NY); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1427441153) · Data from the CMS NPPES public registry.