STACEY BOTTEX (NP) – Nurse Practitioner, NPI 1356900633

STACEY BOTTEX (NP) is a healthcare provider. based in Palo alto, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 95012224 (CA). The NPI Number for STACEY BOTTEX (NP) is 1356900633

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
STACEY BOTTEX (NP)
NPI
1356900633
Phone
Not provided
Address
300 PASTEUR DR
Enumeration Date
10 June 2019
Last Update Date
23 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2546280056
Graduation Year
2019 (7 years ago)
PAC ID
4183160385
Group Practice PAC ID
0547679284
Professional Enrollment ID
I20240724001973
Address ID
TX765422000KI3106XDRXX605

Contacts

Other Endpoint
unknown
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness95
Years active:6State licenses:1Other names

16,353 NURSE PRACTITIONER in CA

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Provider Addresses for STACEY BOTTEX (NP)

  • Stanford Hospital, 300, Pasteur Drive, Stanford, Palo Alto, Santa Clara County, California, 94305, United States

    PALO ALTO, CA 943052200

    Phone:

    Type: Mailing

  • 5201 GREAT AMERICA PKWY STE 320

    SANTA CLARA, CA 950541140

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240724001973INurse PractitionerTXTBD
I20251213000241INurse PractitionerORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 94305)

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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: 0547679284View full group profile
NameSpecialtyState
Clinical Social WorkerTX

Reviews

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Frequently asked questions

What unique ID ties claims to STACEY BOTTEX (NP)?
NPI 1356900633 is assigned to STACEY BOTTEX (NP) under the national enumeration system.
Is STACEY BOTTEX (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is STACEY BOTTEX (NP)?
The page reflects Nurse Practitioner for STACEY BOTTEX (NP). Clinical services aligned with this taxonomy classification.
What location shows for STACEY BOTTEX (NP)?
We surface Palo Alto, California for STACEY BOTTEX (NP) based on available NPPES addresses.
What if Palo Alto, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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