Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katelyn Rose Stack, FNP-BC

Individual provider Nurse Practitioner · NPI 1588329502

Katelyn Rose Stack, FNP-BC is a Nurse Practitioner in Albany, New York. Qualified in 2021, 5 years ago. Practices with St Peter's Health Partners Medical Associates, PC, a 480-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

319 S Manning Blvd Ste 106
Albany, NY 12208-1743
Phone: (518) 438-1019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 4 Executive Park Dr Ste 2, Albany, NY 12203-3717 — (518) 489-7494
  • 317 S Manning Blvd Ste 220, Albany, NY 12208-3909 — (518) 525-6418
  • 855 Route 146 Bldg B, Clifton Park, NY 12065-3885 — (518) 525-1789
  • 2231 Burdett Ave Ste 160, Troy, NY 12180-2453 — (518) 272-1333
  • 1300 Massachusetts Ave, Troy, NY 12180-1628 — (518) 268-5060

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 348396 (NY)

Record details

NPI number1588329502
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedNovember 4, 2021
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St. Peter'S Health Partners Medical Associates, P.C. — 480 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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