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STACY NADINE HALTAUFDERHYDE
NPI 1588166102
Nurse Practitioner - Family in Warwick, RI

Active since February 28, 2018PECOS Enrolled
475 KILVERT ST, WARWICK, RI 02886(401) 732-7406 Get Directions Write a Review

NPPES record last updated: February 28, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1588166102
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY NADINE HALTAUFDERHYDE
Location Address475 KILVERT STWarwick, RI 02886-1379
Mailing Address475 Kilvert StWarwick, RI 02886-1379
Phone(401) 732-7406
Sole ProprietorNo
Enumeration DateFebruary 28, 2018
✔ NPI 1588166102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in RI · APN01730
475 KILVERT ST, Warwick, RI 02886
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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 (PECOS)

Stacy Nadine Haltaufderhyde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

KIMBERLY MARIE MORSE PA-C
Physician Assistant
475 KILVERT ST, SUITE 310
WARWICK, RI 02886
Kent County (781) 472-8650
OLAJUMOKE ADETUNJI DNP APRN FNP-BC
Nurse Practitioner (Family)
475 KILVERT ST
WARWICK, RI 02886
Kent County (401) 737-6900
DR. KYLE GALLANT DNP, AGPCNP-BC
Nurse Practitioner
475 KILVERT ST
WARWICK, RI 02886
Kent County (401) 732-7406
MS. MARY ELLEN MATRONE JANUARIO NP
Nurse Practitioner (Gerontology)
475 KILVERT ST
WARWICK, RI 02886
Kent County (401) 256-1606
VNA SUPPORT SERVICES, INC
Nursing Care
475 KILVERT ST, 4TH FLOOR
WARWICK, RI 02886
Kent County (401) 574-4900
MARIAN CRAIGHILL M.D.
Obstetrics & Gynecology
475 KILVERT ST, SUITE 310
WARWICK, RI 02886
Kent County (401) 732-7324
PATRICIA ANN CHACE MD
Internal Medicine
475 KILVERT ST
WARWICK, RI 02886
Kent County (401) 732-7105
MARY ANN CAOUETTE NP
Nurse Practitioner (Gerontology)
475 KILVERT ST
WARWICK, RI 02886
Kent County (401) 732-7116

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.

When was this NPI record last updated?

The NPPES record for Stacy Haltaufderhyde was last updated on February 28, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.