STACEY WALSEMANN RD, CDN
NPI 1639059702
Dietitian, Registered in Lowville, NY

Q: What is Stacey Walsemann's NPI number?

The NPI number for Stacey Walsemann is 1639059702. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Q: What is Stacey Walsemann's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Walsemann was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since September 08, 2025

7785 N STATE ST, LOWVILLE, NY 13367(315) 376-5081 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Stacey Walsemann Rd, Cdn NPPES

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

STACEY WALSEMANN RD, CDN (NPI 1639059702) is an individual dietitian, registered in Lowville, New York, licensed in New York (009548) and active in the NPI registry since September 2025. She maintains a secondary practice location in Carthage and is a graduate of Other (2014).

NPPES Registry Identity

NPI1639059702

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSTACEY WALSEMANNCredential: RD, CDN

Location Address7785 N STATE STLowville, NY 13367-1229

Mailing Address4669 Zecher RdCarthage, NY 13619-6017

Phone(315) 376-5081

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 8, 2025

NPPES CertifiedSeptember 8, 2025

✔ NPI 1639059702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NY · 009548

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

7785 N STATE ST, Lowville, NY 13367

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Secondary Practice Location 1

Location 14669 Zecher RDcarthage, NY 13619-6017 · Phone (315) 771-0475

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Walsemann Rd, Cdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961991336

PECOS Enrollment IDI20251028000339

Medicare Billing Reassignment

Medicare enrollment records show Stacey Walsemann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lewis County General Hospital

1.0 mi

Psychiatry

7785 N STATE ST
Lowville, NY 13367

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Lewis County
23 clinicians in this Medicare group

NPI 1982954178 (315) 368-3831

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. LUCY D COLE PHARM.D.

Pharmacist

7785 N STATE ST
LOWVILLE, NY 13367

Lewis County (315) 376-5082

DR. REBECCA TAN-ALBERTO MD

Anesthesiology

7785 N STATE ST
LOWVILLE, NY 13367

Lewis County (315) 376-5200

MRS. CAITLIN P LEE

Occupational Therapist

7785 N STATE ST
LOWVILLE, NY 13367

Lewis County (315) 376-5225

GINGER LEE GARCIA PA

Physician Assistant

7785 N STATE ST
LOWVILLE, NY 13367

Lewis County (315) 376-5200

MANOJ R VORA M.D.

Internal Medicine

7785 N STATE ST, SUITE 250
LOWVILLE, NY 13367

Lewis County (315) 376-5488

MRS. JENNIFER MARIE BOUCHER MS, OTR/L

Occupational Therapist (Physical Rehabilitation)

7785 N STATE ST
LOWVILLE, NY 13367

Lewis County (315) 376-5225

ROBERT M HARRYMAN M.D.

Emergency Medicine

7785 N STATE ST
LOWVILLE, NY 13367

Lewis County (315) 376-5785

LEWIS COUNTY

Medicare Defined Swing Bed Unit

7785 N STATE ST
LOWVILLE, NY 13367

Lewis County (315) 376-5200

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 Walsemann's NPI number?

The NPI number for Stacey Walsemann is 1639059702. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Stacey Walsemann located?

Stacey Walsemann practices at 7785 N State St, Lowville, NY 13367. The listed phone number is (315) 376-5081.

What is Stacey Walsemann's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Stacey Walsemann enrolled in Medicare?

Yes. Stacey Walsemann is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacey Walsemann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Walsemann reassigns Medicare benefits to Lewis County General Hospital (Lowville, 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 Walsemann'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 Walsemann was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.