MS. NICOLE E BELLISARIO DNP, PMHNP-BC, CNL
NPI 1982172003
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Q: What is Nicole Bellisario's NPI number?

The NPI number for Nicole Bellisario is 1982172003. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Q: What is Nicole Bellisario's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Bellisario was last updated on September 15, 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.

Active since November 06, 2018PECOS EnrolledAccepts Medicare Assignment

402 W BROADWAY STE 400, SAN DIEGO, CA 92101(888) 777-9409(888) 999-6614 Get Directions Write a Review

NPPES record last updated: September 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 15, 2024, Jan 16, 2023, Jan 10, 2023 and 3 more (6 updates tracked since 2018).

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About Ms. Nicole E Bellisario Dnp, Pmhnp-bc, Cnl NPPES

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

MS. NICOLE E BELLISARIO DNP, PMHNP-BC, CNL (NPI 1982172003) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95022579) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1982172003

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. NICOLE E BELLISARIOCredential: DNP, PMHNP-BC, CNL

Location Address402 W BROADWAY STE 400San Diego, CA 92101-3554

Mailing Address402 W Broadway Ste 400San Diego, CA 92101-3554 · (888) 777-9409 · Fax (888) 999-6614

Phone(888) 777-9409

Fax(888) 999-6614

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 6, 2018

Last NPPES UpdateSeptember 15, 20246 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2024

✔ NPI 1982172003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95022579

402 W BROADWAY STE 400, San Diego, CA 92101

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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

Ms. Nicole E Bellisario Dnp, Pmhnp-bc, Cnl 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 ID1557730512

PECOS Enrollment IDI20251014000767

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

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

Lindsay L Wray Psyd Comprehensive Psychological Services PLLC

254 mi

Psychologist

880 SEVEN HILLS DR STE 200
Henderson, NV 89052

Reassigned Medicare billing, Nevada enrollment
7 clinicians in this Medicare group

NPI 1619732385 (323) 391-4228

Grow Healthcare Group PA

2,272 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Oregon enrollment
285 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

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 92101 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR CHRISTINE FLYNN MA, LMFT

Marriage & Family Therapist