STACEY MOUSAW CARPENTER PMHNP
NPI 1619657137
Nurse Practitioner - Psychiatric/Mental Health in Syracuse, NY
About Stacey Mousaw Carpenter Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY MOUSAW CARPENTER PMHNP (NPI 1619657137) is an individual psychiatric/mental health provider in Syracuse, New York, licensed in New York (404991) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
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 and accepts Medicare assignment
Stacey Mousaw Carpenter Pmhnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Stacey Carpenter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- 369 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13203 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.
SYRACUSE, NY 13203
SYRACUSE, NY 13203
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 Stacey Carpenter's NPI number?
The NPI number for Stacey Carpenter is 1619657137. It was assigned to this individual provider in the NPPES registry on July 19, 2023.
Where is Stacey Carpenter located?
Stacey Carpenter practices at 301 Prospect Ave, Syracuse, NY 13203. The listed phone number is (315) 726-8600.
What is Stacey Carpenter's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Stacey Carpenter enrolled in Medicare?
Yes. Stacey Carpenter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Stacey Carpenter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Carpenter reassigns Medicare benefits to St Josephs Hospital Health Center (Syracuse, NY). 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 Stacey Carpenter'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 Stacey Carpenter was last updated on July 19, 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.
# Stacey Mousaw Carpenter, PMHNP · NPI 1619657137
Psychiatric/Mental Health physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since July 19, 2023.
## Identity
- **NPI:** 1619657137 (Entity type: Individual)
- **Enumerated:** July 19, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 404991 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 PROSPECT AVE, Syracuse, NY 13203-1899
- **Phone:** (315) 726-8600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Josephs Hospital Health Center (NPI 1508815333, Syracuse, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1619657137) · Data from the CMS NPPES public registry.