MISS STACIE NOEL LIEBELT F.N P.
NPI 1295779387
Nurse Practitioner - Family in Modesto, CA

Q: What is Stacie Liebelt's NPI number?

The NPI number for Stacie Liebelt is 1295779387. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Q: What is Stacie Liebelt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stacie Liebelt was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment

4335 N STAR WAY STE A, MODESTO, CA 95356(209) 342-5125(209) 342-5128 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Miss Stacie Noel Liebelt F.n P. NPPES

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

MISS STACIE NOEL LIEBELT F.N P. (NPI 1295779387) is an individual family provider in Modesto, California, licensed in California (14950) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1295779387

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISS STACIE NOEL LIEBELTCredential: F.N P.

Location Address4335 N STAR WAY STE AModesto, CA 95356-8628

Mailing Address4335 N Star Way Ste AModesto, CA 95356-8628 · (209) 342-5125 · Fax (209) 342-5128

Phone(209) 342-5125

Fax(209) 342-5128

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJune 16, 2006

Last NPPES UpdateApril 7, 2025

NPPES CertifiedApril 7, 2025

✔ NPI 1295779387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 14950

4335 N STAR WAY STE A, Modesto, CA 95356

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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 and accepts Medicare assignment

Miss Stacie Noel Liebelt F.n P. 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 ID9133289754

PECOS Enrollment IDI20081126000462

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 95356 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

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers14 claims20 services$5.95 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

LAURIE MAULDIN FNP

General Practice

4335 N STAR WAY STE A
MODESTO, CA 95356

Stanislaus County (209) 342-5125

KATHERINE BOONE

Nurse Practitioner (Adult Health)

4335 N STAR WAY STE A
MODESTO, CA 95356

Stanislaus County (209) 342-5125

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 Liebelt's NPI number?

The NPI number for Stacie Liebelt is 1295779387. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Stacie Liebelt located?

Stacie Liebelt practices at 4335 N Star Way Ste A, Modesto, CA 95356. The listed phone number is (209) 342-5125.

What is Stacie Liebelt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacie Liebelt enrolled in Medicare?

Yes. Stacie Liebelt 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.

When was this NPI record last updated?

The NPPES record for Stacie Liebelt was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.