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

Miss. Stacie Noel Liebelt, FNP

Individual provider Family Nurse Practitioner · NPI 1295779387

Miss. Stacie Noel Liebelt, FNP is a Nurse Practitioner in Modesto, California. Qualified in 2004, 22 years ago. Practices with Central California Bariatric Surgery a Medical Corporation, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4335 N Star Way Ste A
Modesto, CA 95356-8628
Phone: (209) 342-5125
Fax: (209) 342-5128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 14950 (CA)

Record details

NPI number1295779387
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Central California Bariatric Surgery A Medical Corporation — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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