COLETTE STAKELY
NPI 1881173532
Nurse Practitioner - Family in Vestal, NY
About Colette Stakely NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLETTE STAKELY (NPI 1881173532) is an individual family provider in Vestal, New York, licensed in New York (343553) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Colette Stakely is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Colette Stakely's NPI number?
The NPI number for Colette Stakely is 1881173532. It was assigned to this individual provider in the NPPES registry on August 13, 2018.
Where is Colette Stakely located?
Colette Stakely practices at 4433 Vestal Pkwy E, Vestal, NY 13850. The listed phone number is (607) 240-2879.
What is Colette Stakely's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Colette Stakely enrolled in Medicare?
Yes. Colette Stakely is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Colette Stakely was last updated on January 9, 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.
# Colette Stakely · NPI 1881173532
Family physician in Vestal, New York. Individual provider, active in the CMS NPPES registry since August 13, 2018.
## Identity
- **NPI:** 1881173532 (Entity type: Individual)
- **Enumerated:** August 13, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 343553 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4433 VESTAL PKWY E, Vestal, NY 13850
- **Phone:** (607) 240-2879 · **Fax:** (607) 240-2972
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1881173532) · Data from the CMS NPPES public registry.