STACEY RYAN NURSE PRACTITIONER
NPI 1427583111
Nurse Practitioner - Psychiatric/Mental Health in Ogdensburg, NY

Q: What is Stacey Ryan's NPI number?

The NPI number for Stacey Ryan is 1427583111. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Q: What is Stacey Ryan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Ryan was last updated on March 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 01, 2017PECOS EnrolledAccepts Medicare Assignment

221 HAMILTON ST, OGDENSBURG, NY 13669(315) 393-3072 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 1, 2023, Oct 17, 2017 (2 updates tracked since 2017).

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About Stacey Ryan Nurse Practitioner NPPES

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

STACEY RYAN NURSE PRACTITIONER (NPI 1427583111) is an individual psychiatric/mental health provider in Ogdensburg, New York, licensed in New York (F402278-1) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2017).

NPPES Registry Identity

NPI1427583111

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSTACEY RYANCredential: NURSE PRACTITIONER

Location Address221 HAMILTON STOgdensburg, NY 13669-1707

Mailing Address221 Hamilton StOgdensburg, NY 13669-1707 · (315) 393-3072

Phone(315) 393-3072

Sole ProprietorYes

Medical School CMSYale University School Of MedicineGraduated 2017

Enumeration DateMay 1, 2017

Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration

NPPES CertifiedMarch 1, 2023

✔ NPI 1427583111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F402278-1

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 715179 (NY), 129325 (CT)

221 HAMILTON ST, Ogdensburg, NY 13669

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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

Stacey Ryan Nurse Practitioner 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 ID1951657279

PECOS Enrollment IDI20180628002644

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 3

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.

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.

51 services14 patients

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.

34 services11 patients

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.

20 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13669 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.

Other Providers at the Same Location NPPES 13

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

DR. ERNESTO AVI BONAPARTE D.D.S

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