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MRS. STACIE SANBORN NP
NPI 1568791978
Nurse Practitioner - Psychiatric/Mental Health in Vacaville, CA

Active since December 14, 2009PECOS Enrolled
520 WALNUT AVE, VACAVILLE, CA 95688(530) 383-4958 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 5, 2025, Apr 18, 2018 (2 updates tracked since 2018).

About Mrs. Stacie Sanborn Np NPPES

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

MRS. STACIE SANBORN NP (NPI 1568791978) is an individual psychiatric/mental health provider in Vacaville, California, licensed in California (11031) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1568791978
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. STACIE SANBORNCredential: NP
Location Address520 WALNUT AVEVacaville, CA 95688-5335
Mailing Address520 Walnut AveVacaville, CA 95688-5335 · (530) 383-4958
Phone(530) 383-4958
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 14, 2009
Last NPPES UpdateMarch 5, 20252 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1568791978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 11031
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 11031 (CA)
Also ListedClinical Nurse Specialist · PediatricsTaxonomy 364SP0200X · License 3247 (CA)
520 WALNUT AVE, Vacaville, CA 95688
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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 (PECOS)

Mrs. Stacie Sanborn Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951894294
PECOS Enrollment IDI20251204001387
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 Stacie Sanborn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jjm Integrative Health Advanced Nursing Inc
0.3 mi
Psychiatric/Mental Health
941 MERCHANT SREET, SUITE A
Vacaville, CA 95688
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1477316057 (707) 249-6898
Cit Clinics Inc.
40 mi
Anesthesiology
21 TAMAL VISTA BLVD STE 206
Corte Madera, CA 94925
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1720638505 (415) 675-1335

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 95688 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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 Stacie Sanborn's NPI number?

The NPI number for Stacie Sanborn is 1568791978. It was assigned to this individual provider in the NPPES registry on December 14, 2009.

Where is Stacie Sanborn located?

Stacie Sanborn practices at 520 Walnut Ave, Vacaville, CA 95688. The listed phone number is (530) 383-4958.

What is Stacie Sanborn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stacie Sanborn enrolled in Medicare?

Yes. Stacie Sanborn is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacie Sanborn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacie Sanborn reassigns Medicare benefits to 2 organizations: Jjm Integrative Health Advanced Nursing Inc (Vacaville, CA) and Cit Clinics Inc. (Corte Madera, 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 Sanborn'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 Sanborn was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.