Stacey Longoria, PMHNP-C
NPI 1497149264ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Huntersville, NC
Nurse Practitioner, Psych/Mental Health (PMHNP-C) with Boulder Care Provider Group PA, practicing in Huntersville, North Carolina. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner.
Overview
| NPI | 1497149264 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP-C |
| Sole proprietor | No |
| NPI issued | Mar 19, 2015 |
| Last updated in NPPES | Jun 3, 2026 |
| Certified by provider | Jun 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 5022115 | NC |
| Nurse Practitioner | 363L00000X | 5022115 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NC); Practitioner - Nurse Practitioner (OH) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Boulder Care Provider Group PAShaker Heights, OH · 119 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 16 psychiatric nurse practitioners in Huntersville · All psychiatric nurse practitioners in North Carolina