STACEY MOUSAW CARPENTER PMHNP
NPI 1619657137
Nurse Practitioner - Psychiatric/Mental Health in Syracuse, NY

Active since July 19, 2023PECOS EnrolledAccepts Medicare Assignment
301 PROSPECT AVE, SYRACUSE, NY 13203(315) 726-8600 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1619657137
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTACEY MOUSAW CARPENTERCredential: PMHNP
Location Address301 PROSPECT AVESyracuse, NY 13203-1899
Mailing Address5465 Orangeport Rd Unit 503Brewerton, NY 13029-1804 · (252) 675-8887
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 19, 2023
NPPES CertifiedJuly 19, 2023
NPI 1619657137 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 · 404991
301 PROSPECT AVE, Syracuse, NY 13203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6305293572
PECOS Enrollment IDI20231109000590
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.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
14 services14 patients

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.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Family Medicine
301 PROSPECT AVE
SYRACUSE, NY 13203
Nurse Anesthetist, Certified Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Dietitian, Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Anesthesiology
301 PROSPECT AVE, DEPT OF ANESTHESIA
SYRACUSE, NY 13203
Anesthesiology
301 PROSPECT AVE, DEPARTMENT OF ANESTHESIA
SYRACUSE, NY 13203
Emergency Medicine
301 PROSPECT AVE
SYRACUSE, NY 13203
Licensed Practical Nurse
301 PROSPECT AVE, ST. JOSEPH'S HOSPITAL
SYRACUSE, NY 13203
Student in an Organized Health Care Education/Training Program
301 PROSPECT AVE
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.

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.