MARY ROLFES STUDENT
NPI 1063918910
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since March 31, 2018PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
550 16TH ST FL 4, SAN FRANCISCO, CA 94143(415) 476-6245(415) 476-5354 Get Directions Write a Review

NPPES record last updated: March 31, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Rolfes Student NPPES

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

MARY ROLFES STUDENT (NPI 1063918910) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Mayo Medical School (2018).

NPPES Registry Identity

NPI1063918910
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARY ROLFESCredential: STUDENT
Location Address550 16TH ST FL 4San Francisco, CA 94143-2549
Mailing Address11 7th Ave Sw Apt 403Rochester, MN 55902-6405 · (708) 209-6582
Fax(415) 476-5354
Sole ProprietorYes
Medical School CMSMayo Medical SchoolGraduated 2018
Enumeration DateMarch 31, 2018
NPI 1063918910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

550 16TH ST FL 4, San Francisco, CA 94143

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

Mary Rolfes Student 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 ID5597190967
PECOS Enrollment IDI20230810003854
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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
550 16TH ST FL 4, 4551, BOX 0110
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
550 16TH ST FL 4, 4551 BOX 0110
SAN FRANCISCO, CA 94143
Dietitian, Registered (Nutrition, Pediatric)
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
Pediatrics
550 16TH ST FL 4, 4551, BOX 0110
SAN FRANCISCO, CA 94143
Pediatrics
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
550 16TH ST FL 4
SAN FRANCISCO, CA 94143
Pediatrics
550 16TH ST FL 4
SAN FRANCISCO, CA 94143

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063918910, enumerated as an "individual" on March 31, 2018.

The provider is located at 550 16TH ST FL 4 SAN FRANCISCO, CA 94143 and the phone number is (415) 476-6245.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.