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AMANDA STACKHOUSE APN
NPI 1801644505
Nurse Practitioner - Family in New Brunswick, NJ

Active since May 08, 2024PECOS EnrolledAccepts Medicare Assignment
254 EASTON AVE, NEW BRUNSWICK, NJ 08901(732) 745-8600 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1801644505
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA STACKHOUSECredential: APN
Location Address254 EASTON AVENew Brunswick, NJ 08901-1766
Mailing Address6 Gail RdHillsborough, NJ 08844-4207 · (908) 392-4475
Phone(732) 745-8600
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 8, 2024
NPPES CertifiedMay 8, 2024
✔ NPI 1801644505 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 NJ · 26NJ15002000
254 EASTON AVE, New Brunswick, NJ 08901
Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda Lake

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

Amanda Stackhouse Apn 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 ID9537500202
PECOS Enrollment IDI20240513000625
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Physician 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.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 20

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

DR. AMIE KAWASHIMA D.O.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 339-7566
CRAIG M AUMACK RPH, PHARMD
Pharmacist
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
JENNIFER WALDMANN M.D
Internal Medicine (Critical Care Medicine)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 996-6741
MRS. MICHELE BRUNO HORNER MS, CGC
Genetic Counselor, MS
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-6659
ERNESTO BRETON MD
Student in an Organized Health Care Education/Training Program
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
DR. I. MARK HIATT MD
Pediatrics (Neonatal-Perinatal Medicine)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
JANTI CHAABAN MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
254 EASTON AVE, PEDIATRIC NEUROLOGY
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
SHERENE TANASHA DUNKLEY APN-C
Nurse Practitioner (Acute Care)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Amanda Stackhouse affiliated with any hospitals?

According to CMS data, Amanda Stackhouse is affiliated with St Peter's 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.