Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Stacy Nicole Ross, PA-C

Individual provider Physician Assistant · NPI 1174773808

MS. Stacy Nicole Ross, PA-C is a Physician Assistant in Fresno, California. Qualified in 2008, 18 years ago. Practices with Community Foundation Medical Group, a 284-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1510 E Herndon Ave Ste 230
Fresno, CA 93720-3392
Phone: (559) 450-2663
Fax: (559) 450-2724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1630 E Herndon Ave, Fresno, CA 93720-3305 — (559) 256-5200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 19958 (CA)

Record details

NPI number1174773808
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 30, 2008
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Community Foundation Medical Group — 284 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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