MRS. SYREETA RENEE STAKE APRN, PMHNP-BC
NPI 1679384580
Nurse Practitioner - Psychiatric/Mental Health in Liberty Twp, OH
About Mrs. Syreeta Renee Stake Aprn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SYREETA RENEE STAKE APRN, PMHNP-BC (NPI 1679384580) is an individual psychiatric/mental health provider in Liberty Twp, Ohio, licensed in Ohio (0034591) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mrs. Syreeta Renee Stake Aprn, Pmhnp-bc 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 Reassignments
3Medicare enrollment records show Syreeta Stake reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cincinnati, OH 45212
- Reassigned Medicare billing, Ohio enrollment
- 79 clinicians in this Medicare group
Cincinnati, OH 45209
- Reassigned Medicare billing, Ohio enrollment
- 12 clinicians in this Medicare group
Cincinnati, OH 45209
- Reassigned Medicare billing, Ohio enrollment
- 65 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Syreeta Stake's NPI number?
The NPI number for Syreeta Stake is 1679384580. It was assigned to this individual provider in the NPPES registry on January 20, 2025.
Where is Syreeta Stake located?
Syreeta Stake practices at 6319 Hidden Hollow Dr, Liberty Twp, OH 45011. The listed phone number is (513) 319-0272.
What is Syreeta Stake's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Syreeta Stake enrolled in Medicare?
Yes. Syreeta Stake 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 organizations bill Medicare for Syreeta Stake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Syreeta Stake reassigns Medicare benefits to 3 organizations: Medical Housecalls LLC (Cincinnati, OH), Supportive Healthcare Psych LLC (Cincinnati, OH) and Supportive Healthcare Skilled LLC (Cincinnati, OH). Each 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 Syreeta Stake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Syreeta Stake accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Syreeta Stake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Syreeta Stake was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Mrs. Syreeta Renee Stake, APRN, PMHNP-BC · NPI 1679384580
Psychiatric/Mental Health physician in Liberty Twp, Ohio. Individual provider, active in the CMS NPPES registry since January 20, 2025.
## Identity
- **NPI:** 1679384580 (Entity type: Individual)
- **Enumerated:** January 20, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0034591 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6319 HIDDEN HOLLOW DR, Liberty Twp, OH 45011-0432
- **Phone:** (513) 319-0272
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Medical Housecalls LLC (NPI 1962745083, Cincinnati, OH); Supportive Healthcare Psych LLC (NPI 1275424228, Cincinnati, OH); Supportive Healthcare Skilled LLC (NPI 1316838352, Cincinnati, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679384580) · Data from the CMS NPPES public registry.