Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

M Nicole Belissary, MD

Individual provider Family Medicine Physician · NPI 1174572986

M Nicole Belissary, MD is a Family Practice in Modesto, California. Graduated from Medical College of Wisconsin in 1997, 29 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
29
Trained at
Medical College of Wisconsin
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3612 Dale Rd
Modesto, CA 95356-0500
Phone: (209) 524-1211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A67536 (CA)

Record details

NPI number1174572986
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2006
Last updated in NPPESNovember 9, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1997 (29 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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