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

Stacy Davidson, CPNP-AC

Individual provider Pediatric Nurse Practitioner · NPI 1467028209

Stacy Davidson, CPNP-AC is a Nurse Practitioner in Sacramento, California. Qualified in 2015, 11 years ago. Practices with Regents of the Univ of Ca, a 1,578-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone: (916) 734-9200
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 95003179 (CA)

Record details

NPI number1467028209
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-AC
Sole proprietorNo
NPI enumeratedJune 2, 2021
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Regents Of The Univ Of Ca — 1578 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sacramento