STACY NADINE HALTAUFDERHYDE
NPI 1588166102
Nurse Practitioner - Family in Warwick, RI
About Stacy Nadine Haltaufderhyde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY NADINE HALTAUFDERHYDE (NPI 1588166102) is an individual family provider in Warwick, Rhode Island, licensed in Rhode Island (APN01730) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacy Nadine Haltaufderhyde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stacy Haltaufderhyde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Providence, RI 02906
- Reassigned Medicare billing, Rhode Island enrollment
- 93 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02886 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stacy Haltaufderhyde's NPI number?
The NPI number for Stacy Haltaufderhyde is 1588166102. It was assigned to this individual provider in the NPPES registry on February 28, 2018.
Where is Stacy Haltaufderhyde located?
Stacy Haltaufderhyde practices at 475 Kilvert St, Warwick, RI 02886. The listed phone number is (401) 732-7406.
What is Stacy Haltaufderhyde's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacy Haltaufderhyde enrolled in Medicare?
Yes. Stacy Haltaufderhyde is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stacy Haltaufderhyde's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Haltaufderhyde reassigns Medicare benefits to The Miriam Hospital (Providence, RI). The 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 Stacy Haltaufderhyde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stacy Haltaufderhyde was last updated on February 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Stacy Nadine Haltaufderhyde · NPI 1588166102
Family physician in Warwick, Rhode Island. Individual provider, active in the CMS NPPES registry since February 28, 2018.
## Identity
- **NPI:** 1588166102 (Entity type: Individual)
- **Enumerated:** February 28, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN01730 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 475 KILVERT ST, Warwick, RI 02886-1379
- **Phone:** (401) 732-7406
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Miriam Hospital (NPI 1598978744, Providence, RI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1588166102) · Data from the CMS NPPES public registry.