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

Stacey M Jantsch, AGNP

Individual provider Nurse Practitioner · NPI 1861091324

Stacey M Jantsch, AGNP is a Nurse Practitioner in New York, New York. Qualified in 2020, 6 years ago. Practices with Careathome Medical Practice Ky, a 20-clinician group, works from 7 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and New York.

Years since qualifying
6
Licensed in
MI, NY
In the registry since
2020
Specialties on file
5
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

169 Madison Ave Ste 2817
New York, NY 10016-5101
Phone: (888) 553-2823
Fax: (888) 553-2823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 8825 N 23rd Ave Ste 100, Phoenix, AZ 85021-4148 — (888) 553-2823
  • 263 Tresser Blvd Ofc 961b, Stamford, CT 06901-3236 — (888) 553-2823
  • 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 — (888) 553-2823
  • 2723 S State St Ste 150, Ann Arbor, MI 48104-6188 — (888) 553-2823
  • 301 Prospect Ave, Syracuse, NY 13203-1807 — (315) 430-4874
  • 600 Superior Ave E Ste 1300, Cleveland, OH 44114-2654 — (888) 553-2823

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 310040 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704415079 (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence F310040-01 (NY)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 310040 (NY)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 310040 (NY)

Record details

NPI number1861091324
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedOctober 25, 2020
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Careathome Medical Practice Ky — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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