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STACY LYNN HOLYFIELD M.S. CCC-SLP
NPI 1912454208
Speech-Language Pathologist in Loma Linda, CA

Active since September 05, 2016Accepts Medicare Assignment
78.58/100
CMS Quality Rating
11370 ANDERSON ST STE 2100, LOMA LINDA, CA 92354(909) 558-2822 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2026, Mar 19, 2026, Nov 18, 2025 and 3 more (6 updates tracked since 2020).

About Stacy Lynn Holyfield M.s. Ccc-slp NPPES

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

STACY LYNN HOLYFIELD M.S. CCC-SLP (NPI 1912454208) is an individual speech-language pathologist provider in Loma Linda, California, licensed in California (24712) and active in the NPI registry since September 2016. She maintains 2 additional practice locations and is a graduate of Other (2013).

NPPES Registry Identity

NPI1912454208
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSTACY LYNN HOLYFIELDCredential: M.S. CCC-SLP
Location Address11370 ANDERSON ST STE 2100Loma Linda, CA 92354-3450
Mailing Address11234 Anderson StLoma Linda, CA 92350-1716 · (909) 558-4368
Phone(909) 558-2822
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 5, 2016
Last NPPES UpdateMarch 24, 20266 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1912454208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in CA · 24712✔ Licensed in AZ · SLP8587
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
11370 ANDERSON ST STE 2100, Loma Linda, CA 92354
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Secondary Practice Locations 2

Location 12521 Stockton Blvd Ste 7200Sacramento, CA 95817-2207 · Phone (916) 734-1530 · Fax (916) 703-5011
Location 213400 E Shea BlvdScottsdale, AZ 85259-5452 · Phone (480) 301-8000

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 Lynn Holyfield M.s. Ccc-slp 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 ID7416376124
PECOS Enrollment IDI20260106001876

Medicare Billing Reassignments

2

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

Faculty Physicians And Surgeons Of Llusm
Same address
Obstetrics & Gynecology
11370 ANDERSON STREET, SUITE 3900
Loma Linda, CA 92354
  • Reassigned Medicare billing, California enrollment
  • 2,584 clinicians in this Medicare group
NPI 1235189275 (909) 558-2806
Mayo Clinic Arizona
316 mi
Multi-Specialty
13400 E SHEA BLVD
Scottsdale, AZ 85259
  • Reassigned Medicare billing, Arizona enrollment
  • 1,792 clinicians in this Medicare group
NPI 1558332494 (480) 301-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507
This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.
275 services80 patients
Analysis of voice and resonance production 92524
Analysis of voice and resonance production is a medical procedure that evaluates your voice and the quality of sound produced when you speak. It helps identify any abnormalities or changes in your voice, which could be due to various health conditions.
82 services80 patients
Evaluation of swallowing function 92610
Evaluation of swallowing function is a medical procedure that assesses your ability to swallow food and drink safely. This involves studying the muscles and nerves involved in swallowing. It helps identify any issues that might lead to difficulties in eating or drinking.
58 services58 patients
Evaluation of swallowing function image 92611
An evaluation of swallowing function image is a diagnostic procedure. It involves capturing images of your throat as you swallow. This helps identify any issues with swallowing, which could be due to various conditions like stroke, cancer, or nerve disease.
57 services57 patients
Study of voice box function 92520
The study of voice box function, or laryngoscopy, involves examining your voice box, or larynx, to assess its health and function. It helps identify issues like voice disorders, throat pain, or breathing problems. It's a non-invasive, painless procedure done by a medical professional.
50 services50 patients
Imaging of voice box with speech evaluation 70371
This procedure involves capturing images of your voice box, or larynx, while you speak. It helps evaluate how your voice box functions when you talk. The process is non-invasive and painless, aiding in diagnosing any issues related to speech or voice quality.
33 services32 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.05
Promoting Interoperability100
Improvement Activities40
Cost59.56

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.

DR. STEVEN D. RAUCH M.D.
Otolaryngology
11370 ANDERSON ST STE 2100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4368
JANA LYNN CASTILLO NP
Nurse Practitioner
11370 ANDERSON ST STE 2100
LOMA LINDA, CA 92354
San Bernardino County (909) 651-9863
MARY HOON OH MD
Surgery
11370 ANDERSON ST STE 2100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
ANNE KRISTIN MAXWELL M.D.
Otolaryngology (Otology & Neurotology)
11370 ANDERSON ST STE 2100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-7884
AARTHY KANNAPPAN M.D.
Surgery
11370 ANDERSON ST STE 2100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
AMANDA NICOLE LANE AUD
Audiologist
11370 ANDERSON ST STE 2100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2143
KATHLEEN N STUTZ DO
Surgery (Surgical Oncology)
11370 ANDERSON ST STE 2100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
DR. MARCOS JAVIER MICHELOTTI M.D.
Surgery
11370 ANDERSON ST STE 2100
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822

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 Holyfield's NPI number?

The NPI number for Stacy Holyfield is 1912454208. It was assigned to this individual provider in the NPPES registry on September 5, 2016.

Where is Stacy Holyfield located?

Stacy Holyfield practices at 11370 Anderson St Ste 2100, Loma Linda, CA 92354. The listed phone number is (909) 558-2822.

What is Stacy Holyfield's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Stacy Holyfield enrolled in Medicare?

Yes. Stacy Holyfield 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 Holyfield's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Holyfield reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Mayo Clinic Arizona (Scottsdale, AZ). 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 Holyfield'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 Holyfield was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.