JANISE ROEBUCK NP
NPI 1023651080
Nurse Practitioner - Family in Modesto, CA

Active since October 23, 2019PECOS EnrolledAccepts Medicare Assignment
2101 TENAYA DR, MODESTO, CA 95354(209) 722-4842 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2025, Dec 18, 2024, Nov 14, 2024 and 6 more (9 updates tracked since 2019).

About Janise Roebuck Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JANISE ROEBUCK NP (NPI 1023651080) is an individual family provider in Modesto, California, licensed in California (95023096) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1023651080
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJANISE ROEBUCKCredential: NP
Location Address2101 TENAYA DRModesto, CA 95354-3930
Mailing Address2101 Tenaya DrModesto, CA 95354-3930 · (678) 516-4022
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 23, 2019
Last NPPES UpdateAugust 20, 20259 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
NPI 1023651080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in CA · 95023096 Licensed in NY · F351574-01 Licensed in GA · RN248182 Licensed in TX · 1176917
2101 TENAYA DR, Modesto, CA 95354

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Janise Roebuck Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981022837
PECOS Enrollment IDI20241113001753
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Health Educator
2101 TENAYA DR
MODESTO, CA 95354
Health Educator
2101 TENAYA DR
MODESTO, CA 95354
Physician Assistant (Medical)
2101 TENAYA DR
MODESTO, CA 95354
Social Worker (Clinical)
2101 TENAYA DR
MODESTO, CA 95354
Physician Assistant
2101 TENAYA DR
MODESTO, CA 95354
Community/Behavioral Health
2101 TENAYA DR
MODESTO, CA 95354
Pediatrics
2101 TENAYA DR
MODESTO, CA 95354
Registered Nurse
2101 TENAYA DR
MODESTO, CA 95354

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Janise Roebuck's NPI number?

The NPI number for Janise Roebuck is 1023651080. It was assigned to this individual provider in the NPPES registry on October 23, 2019.

Where is Janise Roebuck located?

Janise Roebuck practices at 2101 Tenaya Dr, Modesto, CA 95354. The listed phone number is (209) 722-4842.

What is Janise Roebuck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Janise Roebuck enrolled in Medicare?

Yes. Janise Roebuck is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Janise Roebuck was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.