STACY MARIE ANTONE FNP
NPI 1114517919
Nurse Practitioner - Family in Temecula, CA
About Stacy Marie Antone Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY MARIE ANTONE FNP (NPI 1114517919) is an individual family provider in Temecula, California, licensed in California (NP95015535) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacy Marie Antone Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Stacy Antone reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Irvine, CA 92604
- Reassigned Medicare billing, California enrollment
- 212 clinicians in this Medicare group
Pomona, CA 91766
- Reassigned Medicare billing, California enrollment
- 339 clinicians in this Medicare group
Diamond Bar, CA 91765
- Reassigned Medicare billing, California enrollment
- 283 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92592 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stacy Antone's NPI number?
The NPI number for Stacy Antone is 1114517919. It was assigned to this individual provider in the NPPES registry on January 25, 2021.
Where is Stacy Antone located?
Stacy Antone practices at 33205 Temecula Pkwy, Temecula, CA 92592. The listed phone number is (951) 303-3164.
What is Stacy Antone's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacy Antone enrolled in Medicare?
Yes. Stacy Antone is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Stacy Antone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Antone reassigns Medicare benefits to 3 organizations: Minuteclinic Diagnostic Medical Group Of Orange County Inc (Irvine, CA), Molina Healthcare Of California (Pomona, CA) and Central Health Plan Of California, Inc. (Diamond Bar, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Antone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stacy Antone was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Stacy Marie Antone, FNP · NPI 1114517919
Family physician in Temecula, California. Individual provider, active in the CMS NPPES registry since January 25, 2021.
## Identity
- **NPI:** 1114517919 (Entity type: Individual)
- **Enumerated:** January 25, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95015535 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 33205 TEMECULA PKWY, Temecula, CA 92592-9142
- **Phone:** (951) 303-3164
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Minuteclinic Diagnostic Medical Group Of Orange County Inc (NPI 1104013879, Irvine, CA); Molina Healthcare Of California (NPI 1932214228, Pomona, CA); Central Health Plan Of California, Inc. (NPI 1386714772, Diamond Bar, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1114517919) · Data from the CMS NPPES public registry.