STACIE TITTAMIN
NPI 1669096707
Nurse Anesthetist, Certified Registered in Syracuse, NY

Active since June 04, 2020Accepts Medicare Assignment
46.33/100
CMS Quality Rating
736 IRVING AVE, SYRACUSE, NY 13210(315) 440-7111 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 15, 2025, Dec 8, 2023, Nov 17, 2023 and 3 more (6 updates tracked since 2020).

About Stacie Tittamin NPPES

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

STACIE TITTAMIN (NPI 1669096707) is an individual nurse anesthetist, certified registered in Syracuse, New York, licensed in New York (740498) and active in the NPI registry since June 2020. She is affiliated with Morristown Medical Center, maintains 8 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669096707
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSTACIE TITTAMIN
Location Address736 IRVING AVESyracuse, NY 13210-1602
Mailing Address24 Monhegon AveRockaway, NJ 07866-1808
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 4, 2020
Last NPPES UpdateSeptember 15, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
NPI 1669096707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in NY · 740498 Licensed in NJ · 26NJ01041100
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR13744500 (NJ)
736 IRVING AVE, Syracuse, NY 13210

Secondary Practice Locations 8

Location 1475 Irving AveSyracuse, NY 13210-1756 · Phone (315) 475-8401
Location 2100 McGregor StManchester, NH 03102-3730 · Phone (603) 668-3545
Location 3100 Madison AveMorristown, NJ 07960-6136 · Phone (800) 991-9133
Location 4226 Westchester AveWhite Plains, NY 10604-2917 · Phone (914) 437-9910
Location 541 E Post RdWhite Plains, NY 10601-4607 · Phone (914) 681-0600
Location 6355 Bard AveStaten Island, NY 10310-1664 · Phone (718) 818-1234
Location 7725 Irving AveSyracuse, NY 13210-1603 · Phone (315) 470-7994
Location 8621 10th StNiagara Falls, NY 14301-1813 · Phone (716) 278-4000

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

Stacie Tittamin 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 ID6103244058
PECOS Enrollment IDI20200909003459, I20230824003988

Areas of Expertise CMS Part B claims 3

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
14 services14 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
13 services13 patients
Anesthesia for other procedure on lower abdomen 00840
Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Crouse Hospital

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330203
Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

46.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.51
Improvement Activities0

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.

Internal Medicine
736 IRVING AVE
SYRACUSE, NY 13210
Hospitalist
736 IRVING AVE
SYRACUSE, NY 13210
Emergency Medicine
736 IRVING AVE
SYRACUSE, NY 13210
Hospitalist
736 IRVING AVE
SYRACUSE, NY 13210
Psychiatry & Neurology (Neurology)
736 IRVING AVE
SYRACUSE, NY 13210
Nurse Practitioner (Family)
736 IRVING AVE
SYRACUSE, NY 13210
Anesthesiology
736 IRVING AVE
SYRACUSE, NY 13210
Anesthesiology
736 IRVING AVE
SYRACUSE, NY 13210

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 Stacie Tittamin's NPI number?

The NPI number for Stacie Tittamin is 1669096707. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Stacie Tittamin located?

Stacie Tittamin practices at 736 Irving Ave, Syracuse, NY 13210. The listed phone number is (315) 440-7111.

What is Stacie Tittamin's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Stacie Tittamin enrolled in Medicare?

Yes. Stacie Tittamin 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.

Is Stacie Tittamin affiliated with any hospitals?

According to CMS data, Stacie Tittamin is affiliated with Morristown Medical Center, Crouse Hospital and White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for Stacie Tittamin was last updated on September 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.