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

Stephanie Lisette Bedolla, NP-C

Individual provider Adult Health Nurse Practitioner · NPI 1265717565

Stephanie Lisette Bedolla, NP-C is a Nurse Practitioner in Petaluma, California. Qualified in 2011, 15 years ago. Practices with Petaluma Health Center Inc, a 76-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California, Massachusetts and Rhode Island.

Years since qualifying
15
Licensed in
CA, MA, RI
In the registry since
2011
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone: (707) 559-7500
Show map & directions

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

Additional practice locations (2)

  • 16977 Healdsburg Ave, Healdsburg, CA 95448-3261 — (510) 929-1400
  • 4500 Gilbert St, Oakland, CA 94611-4657 — (510) 929-1400

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 95002835 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence NPP37728 (RI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence RN2275566 (MA)

Record details

NPI number1265717565
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 18, 2011
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Petaluma Health Center Inc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Petaluma