Individual provider Active NPI

Carrie Athena Stine, FNP

  • Nurse Practitioner
  • Chico, CA
National Provider Identifier
1649156282
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95036601 Issued in CA
Practice address
1531 Esplanade
Chico, CA 95926-3310
Phone
(530) 332-7300
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95036601 CA Primary

Addresses

Primary practice location

1531 Esplanade
Chico, CA 95926-3310

Mailing address

25180 Colt Rd
Los Molinos, CA 96055-9676
Phone (530) 953-8983

Other names 1

  • Carrie Athena Williams Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251010003821 CA Practitioner - Nurse Practitioner 0345747622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

111 Raley Blvd
Suite 100
Chico, CA 95928-8351
Phone (530) 332-3986

1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-7300

564 Rio Lindo Ave
Suite 204
Chico, CA 95926-1852
Phone (530) 339-5600

Hospital & facility affiliations

  • Enloe Health Hospital, Chico, CA, CCN 050039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95036601CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Sep 22, 2025 Accepting new patients
Bass Medical Group CurrentSince Sep 22, 2025 Accepting new patients
Enloe Medical Center CurrentSince Sep 29, 2025 Accepting new patients
Enloe Medical Center CurrentSince Sep 29, 2025 Accepting new patients
Bass Medical Group Past Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

564 Rio Lindo Ave
Ste 204
Chico, CA 95926
Phone (530) 339-5600

111 Raley Blvd
Ste 100
Chico, CA 95928
Phone (530) 332-3986

564 Rio Lindo Ave
Ste 100
Chico, CA 95926
Phone (530) 767-3300

564 Rio Lindo Ave
Ste 102
Chico, CA 95926
Phone (530) 965-9265

68 Hartnell Ave
Redding, CA 96002
Phone (530) 399-1200

Interoperability endpoints

  • Direct secure messaging: carrie.stine.1@25176.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1649156282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25180 COLT RD",
            "city": "LOS MOLINOS",
            "state": "CA",
            "postal_code": "960559676",
            "telephone_number": "530-953-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263310",
            "telephone_number": "530-332-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "CARRIE",
        "middle_name": "ATHENA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95036601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "WILLIAMS",
            "middle_name": "ATHENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.