NIA STALLWORTH
NPI 1265965990
Student in an Organized Health Care Education/Training Program in Oakland, CA
About Nia Stallworth NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIA STALLWORTH (NPI 1265965990) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nia Stallworth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nia Stallworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OAKLAND, CA 94609
OAKLAND, CA 94609
OAKLAND, CA 94609
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 Nia Stallworth's NPI number?
The NPI number for Nia Stallworth is 1265965990. It was assigned to this individual provider in the NPPES registry on April 10, 2017. The provider is also known as Nia Jones.
Where is Nia Stallworth located?
Nia Stallworth practices at 747 52nd St, Oakland, CA 94609. The listed phone number is (510) 428-3331.
What is Nia Stallworth's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nia Stallworth enrolled in Medicare?
Yes. Nia Stallworth is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nia Stallworth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nia Stallworth reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The 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 Nia Stallworth'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 Nia Stallworth was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nia Stallworth · NPI 1265965990
Student in an Organized Health Care Education/Training Program provider in Oakland, California. Individual provider, active in the CMS NPPES registry since April 10, 2017.
## Identity
- **NPI:** 1265965990 (Entity type: Individual)
- **Enumerated:** April 10, 2017
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 747 52ND ST, Oakland, CA 94609-1809
- **Phone:** (510) 428-3331
## 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:** Permanente Medical Group Inc (NPI 1235226531, Richmond, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1265965990) · Data from the CMS NPPES public registry.