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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACEY DIANE WILES MD, MPH
NPI 1831305242
Pediatrics in San Bernardino, CA

Active since May 15, 2007PECOS Enrolled
2150 N WATERMAN AVE STE 202, SAN BERNARDINO, CA 92404(909) 674-1600(909) 674-1800 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 16, 2019, Jan 30, 2019 (2 updates tracked since 2019).

About Stacey Diane Wiles Md, Mph NPPES

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

STACEY DIANE WILES MD, MPH (NPI 1831305242) is an individual pediatrics provider in San Bernardino, California, licensed in California (A93227) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831305242
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSTACEY DIANE WILESCredential: MD, MPH
Location Address2150 N WATERMAN AVE STE 202San Bernardino, CA 92404-4811
Mailing Address16465 Sierra Lakes Pkwy Ste 115Fontana, CA 92336-1242 · (909) 823-8000 · Fax (909) 823-8088
Phone(909) 674-1600
Fax(909) 674-1800
Sole ProprietorNo
Enumeration DateMay 15, 2007
Last NPPES UpdateOctober 23, 20262 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1831305242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A93227
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License A93227 (CA)
2150 N WATERMAN AVE STE 202, San Bernardino, CA 92404
Open in Google Maps ↗

Secondary Practice Locations 2

Location 111555 1/2 Potrero RdBanning, CA 92220-6946 · Phone (800) 732-8805
Location 22212 E 4th StSanta Ana, CA 92705-3870 · Phone (714) 571-7700 · Fax (714) 571-7705

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Diane Wiles Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Stacey Wiles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neighborhood Healthcare
70 mi
Federally Qualified Health Center (FQHC)
460 N ELM ST
Escondido, CA 92025
  • Reassigned Medicare billing, California enrollment
  • 332 clinicians in this Medicare group
NPI 1598703647 (760) 520-8100

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 92404 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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.

KELLY ALYSSA JEU MD
Pediatrics
2150 N WATERMAN AVE STE 202
SAN BERNARDINO, CA 92404
San Bernardino County (909) 674-1600
DR. EDUARDO VARGAS MD
Family Medicine
2150 N WATERMAN AVE STE 202
SAN BERNARDINO, CA 92404
San Bernardino County (909) 674-1600

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 Stacey Wiles's NPI number?

The NPI number for Stacey Wiles is 1831305242. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Stacey Wiles located?

Stacey Wiles practices at 2150 N Waterman Ave Ste 202, San Bernardino, CA 92404. The listed phone number is (909) 674-1600.

What is Stacey Wiles's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stacey Wiles enrolled in Medicare?

Yes. Stacey Wiles is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacey Wiles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Wiles reassigns Medicare benefits to Neighborhood Healthcare (Escondido, 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 Stacey Wiles'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 Stacey Wiles was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.