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

Stacy Anne Petersen, FNP-C

Individual provider Family Nurse Practitioner · NPI 1144719527

Stacy Anne Petersen, FNP-C is a Family Nurse Practitioner in Costa Mesa, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

700 W 19th St
Costa Mesa, CA 92627-3517
Phone: (949) 645-4646
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 26791 Aliso Creek Rd, Laguna Niguel, CA 92677-4112 — (949) 991-4172

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95007971 (CA)

Record details

NPI number1144719527
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMay 1, 2018
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 24, 2025

Other providers in Costa Mesa