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CONNOR F STOTTS PMHNP
NPI 1104586148
Nurse Practitioner - Psychiatric/Mental Health in Escondido, CA

Active since December 17, 2021PECOS Enrolled
215 SOUTH HICKORY STREET, SUITE 114, ESCONDIDO, CA 92025(866) 905-9410 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2025, Dec 17, 2021 (2 updates tracked since 2021).

About Connor F Stotts Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNOR F STOTTS PMHNP (NPI 1104586148) is an individual psychiatric/mental health provider in Escondido, California, licensed in California (95033383) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104586148
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameCONNOR F STOTTSCredential: PMHNP
Location Address215 SOUTH HICKORY STREET, SUITE 114Escondido, CA 92025
Mailing Address2215 Maxson StOceanside, CA 92054 · (760) 458-4920
Phone(866) 905-9410
Sole ProprietorNo
Enumeration DateDecember 17, 2021
Last NPPES UpdateApril 15, 20252 updates tracked since enumeration
NPPES CertifiedApril 15, 2025
✔ NPI 1104586148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95033383
215 SOUTH HICKORY STREET, Escondido, CA 92025
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connor F Stotts Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connor Stotts's NPI number?

The NPI number for Connor Stotts is 1104586148. It was assigned to this individual provider in the NPPES registry on December 17, 2021.

Where is Connor Stotts located?

Connor Stotts practices at 215 South Hickory Street Suite 114, Escondido, CA 92025. The listed phone number is (866) 905-9410.

What is Connor Stotts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Connor Stotts enrolled in Medicare?

Yes. Connor Stotts is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connor Stotts was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.