Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Nicole E Bellisario, DNP, PMHNP-BC, CNL

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1982172003

MS. Nicole E Bellisario, DNP, PMHNP-BC, CNL is a Nurse Practitioner in San Diego, California. Qualified in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2018
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

402 W Broadway Ste 400
San Diego, CA 92101-3554
Phone: (888) 777-9409
Fax: (888) 999-6614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95022579 (CA)

Record details

NPI number1982172003
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , PMHNP-BC , CNL
Sole proprietorYes
NPI enumeratedNovember 6, 2018
Last updated in NPPESSeptember 15, 2024
Certification dateSeptember 15, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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