Stacy Halderman, FNP-C - Medicare Nurse Practitioner in Newport Beach, CA

  1. Home
  2. Nurse Practitioner
  3. CA
  4. Newport Beach
Stacy Halderman, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Newport Beach, California. Her current practice location is 5190 Campus Dr, Newport Beach, California. You can reach out to her office (for appointments etc.) via phone at (949) 764-3713.

Stacy Halderman is licensed to practice in California (license number 95010080) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558836510.

Contact Information

Stacy Halderman, FNP-C
5190 Campus Dr,
Newport Beach, CA 92660-2101
(949) 764-3713
(949) 764-5262

Map and Direction




Provider's Profile

Full NameStacy Halderman
GenderFemale
SpecialityNurse Practitioner - Family
Location5190 Campus Dr, Newport Beach, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558836510
  • Provider Enumeration Date: 10/05/2018
  • Last Update Date: 10/21/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1254670862
  • Enrollment ID: I20190226002139

Medical Identifiers

Medical identifiers for Stacy Halderman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558836510NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95010080 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacy Halderman allows following entities to bill medicare on her behalf.
Entity NameCitrus Valley Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306033709
PECOS PAC ID: 0446329932
Enrollment ID: O20080523000551

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Halderman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stacy Halderman, FNP-C
2250 S Main St Ste 104,
Corona, CA 92882-2538

Ph: (951) 737-1454		Stacy Halderman, FNP-C
5190 Campus Dr,
Newport Beach, CA 92660-2101

Ph: (949) 764-3713

Reviews and Comments


Nurse Practitioner Nurses in Newport Beach, CA

Amanda Rose Benvenuto, MSN PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Quail St Ste 245, Newport Beach, CA 92660
Phone: 949-594-4795    
Mrs. Kena Gunter, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2071 San Joaquin Hills Rd, Newport Beach, CA 92660
Phone: 949-759-1720    
Ms. Kay R Collier, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 351 Hospital Rd Ste 401, Newport Beach, CA 92663
Phone: 949-642-6787    Fax: 949-642-4833
Christine Stephens, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 200 Newport Center Dr Ste 300, Newport Beach, CA 92660
Phone: 559-283-4197    
Olivia Taylor Trecaso,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4631 Teller Ave Ste 100, Newport Beach, CA 92660
Phone: 949-887-7187    
Miki Stacy Ohata,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3900 W Coast Hwy Ste 310, Newport Beach, CA 92663
Phone: 949-478-8858    
Danica Jane Labar,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4060 Campus Dr Ste 130, Newport Beach, CA 92660
Phone: 949-463-8651    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.