MS. NICOLE E BELLISARIO DNP PMHNP-BC CNL NPI 1982172003

NPI Information

  • NPI: 1982172003
  • Provider Name: MS. NICOLE E BELLISARIO, DNP, PMHNP-BC, CNL
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 402 W BROADWAY STE 400
    SAN DIEGO, CA
    ZIP 92101
  • Phone: (888) 777-9409

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NPI Details

MS. Nicole E Bellisario, DNP, PMHNP-BC, CNL is a psychiatric/mental health nurse practitioner in San Diego, CA. MS. Nicole E Bellisario, DNP, PMHNP-BC, CNL NPI is 1982172003. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

402 W BROADWAY STE 400
SAN DIEGO, CA
ZIP 92101-554
Phone: (888) 777-9409
Fax: (888) 999-6614

The NPI 1982172003 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/6/2018 and was last updated on 9/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health95022579CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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