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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: October 18, 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
Phone(209) 722-4842
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Janise Roebuck reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Golden Valley Health Center
Same address
Federally Qualified Health Center (FQHC)
2101 TENAYA DR
Modesto, CA 95354
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
NPI 1962680421 (209) 576-6766
Family Health Centers Of San Diego, Inc
395 mi
Federally Qualified Health Center (FQHC)
3705 MISSION BLVD
San Diego, CA 92109
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group
NPI 1386689701 (619) 515-2444
Aylo Health, LLC
2,054 mi
Family Medicine
3333 RIVERWOOD PKWY SE STE 250
Atlanta, GA 30339
  • Reassigned Medicare billing, Georgia enrollment
  • 132 clinicians in this Medicare group
NPI 1013018811 (770) 914-0116

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MISS WHITNEY LETISHA BELTRAN
Health Educator
2101 TENAYA DR
MODESTO, CA 95354
Stanislaus County (209) 960-6914
JASMINE ESPINOSA
Health Educator
2101 TENAYA DR
MODESTO, CA 95354
Stanislaus County (209) 722-4842
EDE J VOORHEIS PA-C
Physician Assistant (Medical)
2101 TENAYA DR
MODESTO, CA 95354
Stanislaus County (209) 576-6766
MAYRA OLIVIA MENDOZA LCSW
Social Worker (Clinical)
2101 TENAYA DR
MODESTO, CA 95354
Stanislaus County (209) 722-4842
FARISHTA NAHEBZADA PA-C
Physician Assistant
2101 TENAYA DR
MODESTO, CA 95354
Stanislaus County (209) 722-4842
GOLDEN VALLEY HEALTH CENTER
Community/Behavioral Health
2101 TENAYA DR
MODESTO, CA 95354
Stanislaus County (209) 576-6766
DR. ANTONIO E. APELLANES MD
Pediatrics
2101 TENAYA DR
MODESTO, CA 95354
Stanislaus County (209) 576-6766
CAROL WHERRY TRILLER R.N.
Registered Nurse
2101 TENAYA DR
MODESTO, CA 95354
Stanislaus County (209) 576-6766

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.

Which organizations bill Medicare for Janise Roebuck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janise Roebuck reassigns Medicare benefits to 3 organizations: Golden Valley Health Center (Modesto, CA), Family Health Centers Of San Diego, Inc (San Diego, CA) and Aylo Health, LLC (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Janise Roebuck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 14 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.