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

Mrs. Kathryn R Stauder, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1427441153

Mrs. Kathryn R Stauder, AGACNP-BC is a Nurse Practitioner in Great Neck, New York. Qualified in 2014, 12 years ago. Practices with New York University, a 5,884-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2015

Practice location Address checks out

310 E Shore Rd Ste #104
Great Neck, NY 11023
Phone: (516) 829-9550
Fax: (516) 829-9718
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 430847 (NY)

Record details

NPI number1427441153
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedMarch 4, 2015
Last updated in NPPESSeptember 28, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Great Neck