STACEY POLLOM – Nurse Practitioner, NPI 1306379631

STACEY POLLOM is a healthcare provider. based in Loma linda, California. specializing in Nurse Practitioner. They hold a License No. 95104604 (CA). The NPI Number for STACEY POLLOM is 1306379631

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
STACEY POLLOM
NPI
1306379631
Phone
Not provided
Address
11261 EXETER ST
Enumeration Date
4 April 2017
Last Update Date
20 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
9097978900
Graduation Year
2017 (9 years ago)
PAC ID
8123394913
Group Practice PAC ID
8628128196
Professional Enrollment ID
I20171023002400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

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Provider Addresses for STACEY POLLOM

  • 11261, Exeter Street, Loma Linda, San Bernardino County, California, 92354, United States

    LOMA LINDA, CA 923543050

    Phone:

    Type: Mailing

  • 4705 ALABAMA AVE

    CHATTANOOGA, TN 374091708

    Phone:

    Type: Mailing

  • 300 CHEROKEE BLVD STE 110

    CHATTANOOGA, TN 374054467

    Phone: (423) 326-7658

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $375.

Total Amount is formed as General ($375) + Research ($0) + Ownership ($0) = $375.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($344).

Total Amount

$375

General + Research + Ownership

Payments

7

Total payment records

General Amount

$375

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92354)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628128196View full group profile
NameSpecialtyState
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Emergency MedicineCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

What unique ID ties claims to STACEY POLLOM?
NPI 1306379631 is assigned to STACEY POLLOM under the national enumeration system.
Does this profile mean STACEY POLLOM is currently active?
Yes — STACEY POLLOM appears active in the national provider directory.
What field does STACEY POLLOM work in?
You can think of STACEY POLLOM as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does STACEY POLLOM practice in California?
You will see Loma Linda, California on file for STACEY POLLOM alongside any extra practice locations.
Is STACEY POLLOM a real provider?
This page reflects official NPPES data for NPI 1306379631. Always confirm identity and privileges with the practice and licensing boards.

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