STACEY RYAN NURSE PRACTITIONER NPI 1427583111

NPI Information

  • NPI: 1427583111
  • Provider Name: STACEY RYAN, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 221 HAMILTON ST
    OGDENSBURG, NY
    ZIP 13669
  • Phone: (315) 393-3072

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NPI Details

Stacey Ryan, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in Ogdensburg, NY with 9 years of experience. Stacey Ryan, NURSE PRACTITIONER NPI is 1427583111. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

221 HAMILTON ST
OGDENSBURG, NY
ZIP 13669-707
Phone: (315) 393-3072

The NPI 1427583111 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)

The enumeration date for this NPI number is 5/1/2017 and was last updated on 3/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health715179NEW YORKNo
2163WP0808XRegistered NursePsychiatric/Mental Health129325CONNECTICUTNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthF402278-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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