Stephanie Lisette Bedolla, NP-C - Medicare Nurse Practitioner in Healdsburg, CA

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Stephanie Lisette Bedolla, NP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Healdsburg, California. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pine Park Health, Inc, Providence Medical Foundation and her current practice location is 16977 Healdsburg Ave, Healdsburg, California. You can reach out to her office (for appointments etc.) via phone at (510) 929-1400.

Stephanie Lisette Bedolla is licensed to practice in California (license number 95002835) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265717565.

Contact Information

Stephanie Lisette Bedolla, NP-C
16977 Healdsburg Ave,
Healdsburg, CA 95448-3261
(510) 929-1400
(510) 929-1414

Map and Direction




Provider's Profile

Full NameStephanie Lisette Bedolla
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location16977 Healdsburg Ave, Healdsburg, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stephanie Lisette Bedolla graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1265717565
  • Provider Enumeration Date: 10/18/2011
  • Last Update Date: 11/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2466613153
  • Enrollment ID: I20160404002223

Medical Identifiers

Medical identifiers for Stephanie Lisette Bedolla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265717565NPI-NPPES
11009205/AMedicaidMA
SB90061MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health RN2275566 (Massachusetts)Secondary
363LA2200XNurse Practitioner - Adult Health NPP37728 (Rhode Island)Secondary
363LA2200XNurse Practitioner - Adult Health 95002835 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St. Joseph Home Care - Greater Sonoma CountySanta rosa, CAHome health agency
Santa Rosa Memorial HospitalSanta rosa, CAHospital
Healdsburg District HospitalHealdsburg, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pine Park Health, Inc034567052728
Providence Medical Foundation89219932051312

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephanie Lisette Bedolla allows following entities to bill medicare on her behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NamePine Park Health, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346879848
PECOS PAC ID: 0345670527
Enrollment ID: O20200501001068

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Lisette Bedolla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephanie Lisette Bedolla, NP-C
Po Box 511250,
Los Angeles, CA 90051-7805

Ph: (510) 929-1400		Stephanie Lisette Bedolla, NP-C
16977 Healdsburg Ave,
Healdsburg, CA 95448-3261

Ph: (510) 929-1400

Reviews and Comments


Nurse Practitioner Nurses in Healdsburg, CA

Judy Lock, FNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1381 University St, Healdsburg, CA 95448
Phone: 707-431-8234    Fax: 707-431-1427
Laura Ann Black, F.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 717 Center St, Healdsburg, CA 95448
Phone: 707-433-7258    
Ms. Catherine Clark, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1381 University St, Healdsburg, CA 95448
Phone: 707-433-8161    
Todd Steele,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1381 University St, Healdsburg, CA 95448
Phone: 707-433-5494    
Susan E Pizzo, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1312 Prentice Drive, Healdsburg, CA 95448
Phone: 707-433-3383    Fax: 707-433-7210
Melissa Jinks, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1381 University St, Healdsburg, CA 95448
Phone: 707-431-8234    Fax: 707-431-1427

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.