MS. STACY NICOLE ROSS PA-C
NPI 1174773808
Physician Assistant in Fresno, CA

Active since September 30, 2008PECOS EnrolledAccepts Medicare Assignment
72.73/100
CMS Quality Rating
1510 E HERNDON AVE STE 230, FRESNO, CA 93720(559) 450-2663(559) 450-2724 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Stacy Nicole Ross Pa-c NPPES

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

MS. STACY NICOLE ROSS PA-C (NPI 1174773808) is an individual physician assistant in Fresno, California, licensed in California (PA 19958) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fresno, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1174773808
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. STACY NICOLE ROSSCredential: PA-C
Location Address1510 E HERNDON AVE STE 230Fresno, CA 93720-3392
Mailing Address1630 E Herndon AveFresno, CA 93720-3305 · (559) 256-5200
Fax(559) 450-2724
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 30, 2008
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
NPI 1174773808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA 19958
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1510 E HERNDON AVE STE 230, Fresno, CA 93720

Secondary Practice Location 1

Location 11630 E Herndon AveFresno, CA 93720-3305 · Phone (559) 256-5200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Stacy Nicole Ross Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668520776
PECOS Enrollment IDI20090429000451
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
408 services220 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
160 services119 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

72.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.14
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
22%208 patients2/55-star benchmark: 87%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1510 E HERNDON AVE STE 230
FRESNO, CA 93720
Nurse Practitioner (Family)
1510 E HERNDON AVE STE 230
FRESNO, CA 93720
Internal Medicine (Rheumatology)
1510 E HERNDON AVE STE 230
FRESNO, CA 93720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174773808, enumerated as an "individual" on September 30, 2008.

The provider is located at 1510 E HERNDON AVE STE 230 FRESNO, CA 93720 and the phone number is (559) 450-2663.

Physician Assistant with taxonomy code 363A00000X.