Tracy Stockstill, NP, RN
Individual provider Active NPI Family Nurse Practitioner · Avila, CA
NPI 1154979441 · NPPES record last updated May 21, 2025
Key facts
- NPI
- 1154979441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95007234 (CA)
- Practice address
- 9 Mi NW of Avila Beach
Avila, CA 93424 - Phone
- (805) 545-4445
- NPI assigned
- Aug 29, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 792258 | CA | MD | Registered Nurse |
| 95007234 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott W. Mosser, MD Apmc | Past |
Accepting new patients |
Interoperability endpoints
- tracy.stockstillnp.p1@direct.plannedparenthoodla.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 792258 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95007234 | CA | Yes |
Addresses
Primary practice location
9 Mi NW of Avila Beach
Avila, CA 93424
Mailing address
300 S Harbor Blvd Ste 600
Anaheim, CA 92805-3718
Phone (800) 455-6155
Other practice location 1
9 mi NW of Avila Beach
Avila, CA 93424
Phone (805) 545-4445
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.