MR. STEFON DEALLIE AGACNP-BC, ACNP, RN
NPI 1477076396
Nurse Practitioner - Acute Care in New York, NY
About Mr. Stefon Deallie Agacnp-bc, Acnp, Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. STEFON DEALLIE AGACNP-BC, ACNP, RN (NPI 1477076396) is an individual acute care provider in New York, New York, licensed in New York (431239) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS.
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
Enrolled in Medicare (PECOS)
Mr. Stefon Deallie Agacnp-bc, Acnp, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10038
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 Stefon Deallie's NPI number?
The NPI number for Stefon Deallie is 1477076396. It was assigned to this individual provider in the NPPES registry on July 23, 2017.
Where is Stefon Deallie located?
Stefon Deallie practices at 156 William St, New York, NY 10038. The listed phone number is (646) 962-5665.
What is Stefon Deallie's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Stefon Deallie enrolled in Medicare?
Yes. Stefon Deallie is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Stefon Deallie was last updated on July 11, 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.
# Mr. Stefon Deallie, AGACNP-BC, ACNP, RN · NPI 1477076396
Acute Care physician in New York, New York. Individual provider, active in the CMS NPPES registry since July 23, 2017.
## Identity
- **NPI:** 1477076396 (Entity type: Individual)
- **Enumerated:** July 23, 2017
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 431239 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 156 WILLIAM ST, New York, NY 10038-2609
- **Phone:** (646) 962-5665
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1477076396) · Data from the CMS NPPES public registry.