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STACY KATHLEEN BRINKMANN
NPI 1346893310
Nurse Practitioner in Redondo Beach, CA

Active since July 18, 2019PECOS EnrolledAccepts Medicare Assignment
530 ESPLANADE APT 302, REDONDO BEACH, CA 90277(248) 318-8907 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 26, 2022, Jul 18, 2019 (2 updates tracked since 2019).

About Stacy Kathleen Brinkmann NPPES

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

STACY KATHLEEN BRINKMANN (NPI 1346893310) is an individual nurse practitioner in Redondo Beach, California, licensed in Michigan (4704252592) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1346893310
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTACY KATHLEEN BRINKMANN
Location Address530 ESPLANADE APT 302Redondo Beach, CA 90277-4017
Mailing Address530 Esplanade Apt 302Redondo Beach, CA 90277-4017
Phone(248) 318-8907
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 18, 2019
Last NPPES UpdateApril 26, 20222 updates tracked since enumeration
✔ NPI 1346893310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704252592
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
530 ESPLANADE APT 302, Redondo Beach, CA 90277
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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

Stacy Kathleen Brinkmann 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 ID2961893458
PECOS Enrollment IDI20211216001345
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stacy Brinkmann reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
6.3 mi
Health Maintenance Organization
25825 VERMONT AVE
Harbor City, CA 90710
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1598797011 (310) 325-5111
Snf Wound Care
14 mi
Internal Medicine
11270 EXPOSITION BLVD FL 1, BOX: 641519
Los Angeles, CA 90064
  • Reassigned Medicare billing, California enrollment
  • 75 clinicians in this Medicare group
NPI 1114393311 (833) 379-6863

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 90277 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Brinkmann's NPI number?

The NPI number for Stacy Brinkmann is 1346893310. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Where is Stacy Brinkmann located?

Stacy Brinkmann practices at 530 Esplanade Apt 302, Redondo Beach, CA 90277. The listed phone number is (248) 318-8907.

What is Stacy Brinkmann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stacy Brinkmann enrolled in Medicare?

Yes. Stacy Brinkmann 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 Stacy Brinkmann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Brinkmann reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Harbor City, CA) and Snf Wound Care (Los Angeles, 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 Brinkmann'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 Brinkmann was last updated on April 26, 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.