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

Mrs. Mira F. Staco, NPPANP

Individual provider Adult Health Nurse Practitioner · NPI 1235464298

Mrs. Mira F. Staco, NPPANP is a Nurse Practitioner in Valley Stream, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2009, 17 years ago. Practices with St Vincent's Services Inc, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
17
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

819 University St
Valley Stream, NY 11581-3517
Phone: (516) 569-0887
Fax: (516) 569-0887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 401229 (NY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence F306665 (NY)

Record details

NPI number1235464298
Entity typeIndividual (Type 1)
GenderFemale
Credentials NPPANP
Sole proprietorYes
NPI enumeratedOctober 8, 2009
Last updated in NPPESNovember 14, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice St. Vincent'S Services Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Valley Stream