Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Stacie Lynn Nellis, FNP

Individual provider Nurse Practitioner · NPI 1285720250

Mrs. Stacie Lynn Nellis, FNP is a Nurse Practitioner in Indio, California. Qualified in 2005, 21 years ago. Practices with County of Riverside, a 187-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
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

80495 US Highway 111
Indio, CA 92201-6534
Phone: (760) 347-2887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP16463 (CA)

Record details

NPI number1285720250
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESApril 16, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice County Of Riverside — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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