Active NPI
Connor F Stotts, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Escondido, CA
National Provider Identifier
1104586148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95033383
- Practice address
- 215 South Hickory Street
Suite 114
Escondido, CA 92025 - Phone
- (866) 905-9410
- NPI assigned
- Dec 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95033383 | CA | Primary |
Addresses
Primary practice location
215 South Hickory Street
Suite 114
Escondido, CA 92025
Mailing address
2215 Maxson St
Oceanside, CA 92054
Phone (760) 458-4920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260224001199 | CA | Order and Referring Only - Nurse Practitioner | 7517448962 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95033383 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1104586148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 MAXSON ST",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92054",
"telephone_number": "760-458-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 SOUTH HICKORY STREET",
"address_2": "SUITE 114",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "92025",
"telephone_number": "866-905-9410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOTTS",
"first_name": "CONNOR",
"middle_name": "F",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-17",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95033383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.