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NISHA ANN ROY
NPI 1063903201
Nurse Practitioner in Modesto, CA

Active since May 23, 2018PECOS Enrolled
1923 COFFEE RD STE 12, MODESTO, CA 95355(209) 409-8454 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2024, May 23, 2018 (2 updates tracked since 2018).

About Nisha Ann Roy NPPES

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

NISHA ANN ROY (NPI 1063903201) is an individual nurse practitioner in Modesto, California, licensed in California (NP95008421) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063903201
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNISHA ANN ROY
Location Address1923 COFFEE RD STE 12Modesto, CA 95355-2708
Mailing Address1923 Coffee Rd Ste 12Modesto, CA 95355-2708 · (209) 409-8454
Phone(209) 409-8454
Sole ProprietorNo
Enumeration DateMay 23, 2018
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1063903201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · NP95008421
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X · License NP95008421 (CA)
1923 COFFEE RD STE 12, Modesto, CA 95355
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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 (PECOS)

Nisha Ann Roy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Nisha Roy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baz Allergy, Asthma & Sinus Center, Inc.
Same address
Allergy
1923 COFFEE ROAD, 12C
Modesto, CA 95355
  • Reassigned Medicare billing, California enrollment
  • 41 clinicians in this Medicare group
NPI 1265812119 (209) 409-8454
Cep America - California
0.2 mi
Emergency Medicine
1700 COFFEE RD
Modesto, CA 95355
  • Reassigned Medicare billing, California enrollment
  • 2,323 clinicians in this Medicare group
NPI 1396044491 (209) 733-1000
Altamont Emergency Physicians Medical Group Inc
26 mi
Emergency Medicine
1420 N TRACY BLVD, EMERGENCY DEPT
Tracy, CA 95376
  • Reassigned Medicare billing, California enrollment
  • 57 clinicians in this Medicare group
NPI 1952392375 (209) 342-2300

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
99 services94 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
40 services40 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 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.

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 Nisha Roy's NPI number?

The NPI number for Nisha Roy is 1063903201. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Where is Nisha Roy located?

Nisha Roy practices at 1923 Coffee Rd Ste 12, Modesto, CA 95355. The listed phone number is (209) 409-8454.

What is Nisha Roy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nisha Roy enrolled in Medicare?

Yes. Nisha Roy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nisha Roy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisha Roy reassigns Medicare benefits to 3 organizations: Baz Allergy, Asthma & Sinus Center, Inc. (Modesto, CA), Cep America - California (Modesto, CA) and Altamont Emergency Physicians Medical Group Inc (Tracy, CA). 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 Nisha Roy'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 Nisha Roy was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.