AMANDA STACKHOUSE APN
NPI 1801644505
Nurse Practitioner - Family in New Brunswick, NJ
About Amanda Stackhouse Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA STACKHOUSE APN (NPI 1801644505) is an individual family provider in New Brunswick, New Jersey, licensed in New Jersey (26NJ15002000) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda Stackhouse Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amanda Stackhouse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Staten Island, NY 10314
- Reassigned Medicare billing, New York enrollment
- 342 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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Peter's Hospital
Acute Care Hospitals · Albany, NYEllis Hospital
Acute Care Hospitals · Schenectady, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
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 Amanda Stackhouse's NPI number?
The NPI number for Amanda Stackhouse is 1801644505. It was assigned to this individual provider in the NPPES registry on May 8, 2024. The provider is also known as Amanda Lake.
Where is Amanda Stackhouse located?
Amanda Stackhouse practices at 254 Easton Ave, New Brunswick, NJ 08901. The listed phone number is (732) 745-8600.
What is Amanda Stackhouse's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amanda Stackhouse enrolled in Medicare?
Yes. Amanda Stackhouse is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amanda Stackhouse's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Stackhouse reassigns Medicare benefits to State Of New York Comptrollers Office (Staten Island, 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 Amanda Stackhouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Amanda Stackhouse affiliated with any hospitals?
According to CMS data, Amanda Stackhouse is affiliated with St Peter's Hospital and Ellis Hospital.
When was this NPI record last updated?
The NPPES record for Amanda Stackhouse was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Amanda Stackhouse, APN · NPI 1801644505
Family physician in New Brunswick, New Jersey. Individual provider, active in the CMS NPPES registry since May 8, 2024.
## Identity
- **NPI:** 1801644505 (Entity type: Individual)
- **Enumerated:** May 8, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ15002000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 254 EASTON AVE, New Brunswick, NJ 08901-1766
- **Phone:** (732) 745-8600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** State Of New York Comptrollers Office (NPI 1750469912, Staten Island, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1801644505) · Data from the CMS NPPES public registry.