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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. CARLETTA STACKHOUSE MS, AGPCNP-BS
NPI 1750743746
Nurse Practitioner - Adult Health in Lynbrook, NY

Active since March 28, 2016PECOS Enrolled
275 BROADWAY, LYNBROOK, NY 11563(516) 515-0597(516) 837-9847 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, Jul 14, 2022, Mar 26, 2017 and 3 more (6 updates tracked since 2016).

About Ms. Carletta Stackhouse Ms, Agpcnp-bs NPPES

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

MS. CARLETTA STACKHOUSE MS, AGPCNP-BS (NPI 1750743746) is an individual adult health provider in Lynbrook, New York, licensed in New York (307783) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lynbrook.

NPPES Registry Identity

NPI1750743746
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. CARLETTA STACKHOUSECredential: MS, AGPCNP-BS
Location Address275 BROADWAYLynbrook, NY 11563-3243
Mailing AddressPo Box 328Malverne, NY 11565-0328 · (516) 253-0035
Phone(516) 515-0597
Fax(516) 837-9847
Sole ProprietorYes
Enumeration DateMarch 28, 2016
Last NPPES UpdateJuly 6, 20266 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1750743746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 307783
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 524609 (NY)
275 BROADWAY, Lynbrook, NY 11563
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Secondary Practice Location 1

Location 140 Lawrence AveLynbrook, NY 11563-1830 · Phone (516) 253-0035

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Carletta Stackhouse Ms, Agpcnp-bs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11563 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 3

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

DR. BETTY V PARISIS M.D.
Family Medicine
275 BROADWAY
LYNBROOK, NY 11563
Nassau County (516) 599-0012
BETTY PARISIS DO LLC
Family Medicine
275 BROADWAY
LYNBROOK, NY 11563
Nassau County (516) 599-0012
ADULT HEALTHCARE NP PLLC
Nurse Practitioner (Adult Health)
275 BROADWAY
LYNBROOK, NY 11563
Nassau County (516) 515-0597

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 Carletta Stackhouse's NPI number?

The NPI number for Carletta Stackhouse is 1750743746. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Carletta Stackhouse located?

Carletta Stackhouse practices at 275 Broadway, Lynbrook, NY 11563. The listed phone number is (516) 515-0597.

What is Carletta Stackhouse's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Carletta Stackhouse enrolled in Medicare?

Yes. Carletta Stackhouse is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carletta Stackhouse was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.