Stacy Shourt, PNP - Nurse Practitioner in Syracuse, NY

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Stacy Shourt, PNP is a Nurse Practitioner - Pediatrics based in Syracuse, New York. Stacy Shourt is licensed to practice in New York (license number 382505) and her current practice location is 750 E Adams St, Syracuse, New York. She can be reached at her office (for appointments etc.) via phone at (315) 464-7231.

NPI number for Stacy Shourt is 1700061470 and her current mailing address is 750 East Adams St, Syracuse, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700061470.

Contact Information

Stacy Shourt, PNP
750 E Adams St,
Syracuse, NY 13210-2306
(315) 464-7231
Not Available

Map and Direction




Provider's Profile

Full NameStacy Shourt
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location750 E Adams St, Syracuse, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700061470
  • Provider Enumeration Date: 12/31/2007
  • Last Update Date: 11/25/2024

Medical Identifiers

Medical identifiers for Stacy Shourt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700061470NPI-NPPES
04523066MedicaidNY
79032273MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 16823 (California)Secondary
363LP0200XNurse Practitioner - Pediatrics 990023 (Colorado)Secondary
363LP0200XNurse Practitioner - Pediatrics 382505 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Shourt is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacy Shourt, PNP
750 East Adams St,
Syracuse, NY 13210-2306

Ph: (315) 464-5294		Stacy Shourt, PNP
750 E Adams St,
Syracuse, NY 13210-2306

Ph: (315) 464-7231

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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