Stephanie Lisette Bedolla

NP-C | Nurse Practitioner - Adult Health | 14+ years Exp

1179 N Mcdowell Blvd, Petaluma
  California, 94954-6559
707-559-7500
Accepts Medicare Nurse Anesthetist in Petaluma, California.
Stephanie Lisette Bedolla is a Petaluma, California based nurse practitioner with 14 years of experience in Adult Health. She completed her graduation in 2011. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stephanie Lisette Bedolla is 95002835 for Adult Health in California. Her current practice location is 1179 N Mcdowell Blvd, Petaluma. Patients can reach her at 707-559-7500. Stephanie Lisette Bedolla is NP-C with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1265717565.
Stephanie Lisette Bedolla can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Stephanie Lisette Bedolla speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Stephanie Lisette Bedolla
Specialization: Adult Health Nurse Practitioner (ANP)
Gender:Female
Credentials: NP-C
Experience: 14+ years
Medical School Attended:Other
Graduation Year:2011
Accepts Medicare Assignment:Yes
Practice Address:1179 N Mcdowell Blvd, Petaluma,
California, 94954-6559
Phone:707-559-7500
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 2466613153
Enrollment ID: I20160404002223
NPI Number: 1265717565
NPI Enumeration Date: 18 Oct, 2011
NPI Last Update On: 17 Jun, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephanie Lisette Bedolla are as mentioned below.
License NumberSpecializationStateStatus
95002835Adult Health CaliforniaPrimary
NPP37728Adult Health Rhode IslandSecondary
RN2275566Adult Health MassachusettsSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(050174)Santa rosa, CAAcute Care Hospital
(050136)Petaluma, CAAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Stephanie Lisette Bedolla is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Providence Medical Foundation (8921993205)1163
Other Medical Identifiers:
Other legacy medical identifiers associated with Stephanie Lisette Bedolla such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
11009205/AMedicaidMassachusetts
SB90061MedicaidRhode Island
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Stephanie Lisette Bedolla
1179 N Mcdowell Blvd,
Petaluma, California
Zip: 94954-6559
Phone Number: 707-559-7500
Patients can reach Stephanie Lisette Bedolla at 1179 N Mcdowell Blvd, Petaluma, California or can call to book an appointment on 707-559-7500.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.