MRS. KLARISA NICOLE STOUDEMIRE ARNP
NPI 1750619995
Nurse Practitioner - Family in Louisville, KY

Q: What is Klarisa Stoudemire's NPI number?

The NPI number for Klarisa Stoudemire is 1750619995. It was assigned to this individual provider in the NPPES registry on November 30, 2009.

Q: What is Klarisa Stoudemire's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 30, 2009PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

234 E GRAY ST STE 154, LOUISVILLE, KY 40202(502) 629-2500(502) 629-2055 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2021, Nov 21, 2017, Jun 27, 2017 (3 updates tracked since 2017).

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About Mrs. Klarisa Nicole Stoudemire Arnp NPPES

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

MRS. KLARISA NICOLE STOUDEMIRE ARNP (NPI 1750619995) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3006498) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1750619995

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KLARISA NICOLE STOUDEMIRECredential: ARNP

Location Address234 E GRAY ST STE 154Louisville, KY 40202-1903

Mailing AddressPo Box 776347Chicago, IL 60677-6347 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 629-2500

Fax(502) 629-2055

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateNovember 30, 2009

Last NPPES UpdateApril 17, 20253 updates tracked since enumeration

NPPES CertifiedApril 17, 2025

✔ NPI 1750619995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3006498

234 E GRAY ST STE 154, Louisville, KY 40202

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Other Identifiers 6

Other229581KY · Siho

Medicaid7100172130KY

OtherK008131KY · Medicare

Medicaid300007238IN

Other50132455KY · Passport

Other000001092683KY · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Mrs. Klarisa Nicole Stoudemire Arnp 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 ID6103095492

PECOS Enrollment IDI20110802000654

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

43 services30 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA AMBER ESTES APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)