MRS. STACIE LYNN NELLIS FNP
NPI 1285720250
Nurse Practitioner in Indio, CA
About Mrs. Stacie Lynn Nellis Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STACIE LYNN NELLIS FNP (NPI 1285720250) is an individual nurse practitioner in Indio, California, licensed in California (NP16463) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Stacie Lynn Nellis Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Stacie Nellis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indio, CA 92201
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: County Of Riverside
- 336 clinicians in this Medicare group
Blythe, CA 92225
- Reassigned Medicare billing, California enrollment
- 3 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 92201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIO, CA 92201
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 Stacie Nellis's NPI number?
The NPI number for Stacie Nellis is 1285720250. It was assigned to this individual provider in the NPPES registry on October 5, 2006.
Where is Stacie Nellis located?
Stacie Nellis practices at 80495 Us Highway 111, Indio, CA 92201. The listed phone number is (760) 347-2887.
What is Stacie Nellis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Stacie Nellis enrolled in Medicare?
Yes. Stacie Nellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Stacie Nellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacie Nellis reassigns Medicare benefits to 2 organizations: County Of Riverisde (Indio, CA) and Palo Verde Health Care District (Blythe, 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 Stacie Nellis'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 Stacie Nellis was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mrs. Stacie Lynn Nellis, FNP · NPI 1285720250
Nurse Practitioner physician in Indio, California. Individual provider, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1285720250 (Entity type: Individual)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** NP16463 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 80495 US HIGHWAY 111, Indio, CA 92201-6534
- **Phone:** (760) 347-2887
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): County Of Riverisde (NPI 1497125694, Indio, CA); Palo Verde Health Care District (NPI 1194705202, Blythe, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** April 16, 2014
- **Other identifiers:** Medicaid 1285720250 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1285720250) · Data from the CMS NPPES public registry.