Stephanie Lisette Bedolla is a Healdsburg, 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 16977 Healdsburg Ave, Healdsburg. Patients can reach her at 510-929-1400 or can fax her at 510-929-1414. 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.
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:
29 Nov, 2023
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 Number
Specialization
State
Status
95002835
Adult Health
California
Primary
RN2275566
Adult Health
Massachusetts
Secondary
NPP37728
Adult Health
Rhode Island
Secondary
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, CA
Acute Care Hospital
(050136)
Petaluma, CA
Acute 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.
Identifier
Type
State
Issuer
11009205/A
Medicaid
Massachusetts
SB90061
Medicaid
Rhode 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 Po Box 511250, Los Angeles, California
Zip:
90051-7805
Phone Number:
510-929-1400
Fax Number:
510-929-1414
Patients can reach Stephanie Lisette Bedolla at 16977 Healdsburg Ave, Healdsburg, California or can call to book an appointment on 510-929-1400.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.