STELLA ANTONY DNP, PMHNP-BC.
NPI 1417529769
Nurse Practitioner - Psychiatric/Mental Health in Fremont, CA
About Stella Antony Dnp, Pmhnp-bc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STELLA ANTONY DNP, PMHNP-BC. (NPI 1417529769) is an individual psychiatric/mental health provider in Fremont, California, licensed in California (95029333) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stella Antony Dnp, Pmhnp-bc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stella Antony reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pleasant Hill, CA 94523
- Reassigned Medicare billing, California enrollment
- 12 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 94538 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FREMONT, CA 94538
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 Stella Antony's NPI number?
The NPI number for Stella Antony is 1417529769. It was assigned to this individual provider in the NPPES registry on July 15, 2021.
Where is Stella Antony located?
Stella Antony practices at 39001 Sundale Dr, Fremont, CA 94538. The listed phone number is (510) 796-1100.
What is Stella Antony's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Stella Antony enrolled in Medicare?
Yes. Stella Antony is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stella Antony's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stella Antony reassigns Medicare benefits to Universal Medical Group (Pleasant Hill, 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 Stella Antony'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 Stella Antony was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Stella Antony, DNP, PMHNP-BC. · NPI 1417529769
Psychiatric/Mental Health physician in Fremont, California. Individual provider, active in the CMS NPPES registry since July 15, 2021.
## Identity
- **NPI:** 1417529769 (Entity type: Individual)
- **Enumerated:** July 15, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95029333 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 39001 SUNDALE DR, Fremont, CA 94538-2005
- **Phone:** (510) 796-1100
## 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:** Universal Medical Group (NPI 1285434902, Pleasant Hill, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417529769) · Data from the CMS NPPES public registry.