MS. ANGELA DOUGLAS-STALEY RN, NP
NPI 1538469770
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Q: What is Angela Douglas-staley's NPI number?

The NPI number for Angela Douglas-staley is 1538469770. It was assigned to this individual provider in the NPPES registry on October 21, 2010.

Q: What is Angela Douglas-staley's specialty?

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

Active since October 21, 2010PECOS Enrolled

2369 2ND AVE, NEW YORK, NY 10035(212) 876-2300 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 30, 2019, Jan 26, 2016 (2 updates tracked since 2016).

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About Ms. Angela Douglas-staley Rn, Np NPPES

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

MS. ANGELA DOUGLAS-STALEY RN, NP (NPI 1538469770) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (F401312-1) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1538469770

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. ANGELA DOUGLAS-STALEYCredential: RN, NP

Location Address2369 2ND AVENew York, NY 10035-3108

Mailing Address413 Beach AveBronx, NY 10473-3609 · (646) 528-7246

Phone(212) 876-2300

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateOctober 21, 2010

Last NPPES UpdateJanuary 30, 20192 updates tracked since enumeration

✔ NPI 1538469770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0808X

License✔ Licensed in NY · F401312-1

2369 2ND AVE, New York, NY 10035

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Angela Douglas-staley Rn, Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688806805

PECOS Enrollment IDI20140422000958

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.

Medicare Billing Reassignments

Medicare enrollment records show Angela Douglas-staley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center

1.9 mi

Family Medicine

2633 BROADWAY
New York, NY 10025

Reassigned Medicare billing, New York enrollment
5,251 clinicians in this Medicare group

NPI 1760288278 (888) 663-6331

Staley Psychiatric Nurse Practitioner PLLC

10 mi

Psychiatry

19605 FOOTHILL AVE
Hollis, NY 11423

Reassigned Medicare billing, New York enrollment
2 clinicians in this Medicare group

NPI 1316581267 (718) 470-2245

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.

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.

113 services26 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.

108 services24 patients

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330059

Location111 East 210th StreetBronx, NY 10467 · Bronx County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10035 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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 20

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

MARIAN SHAFIR-LIDERGOT CASAC-T

Counselor (Addiction (Substance Use Disorder))