MS. MIMSIE M FARRAR N.P.
NPI 1114040029
Nurse Practitioner - Family in Modesto, CA

Q: What is Mimsie Farrar's NPI number?

The NPI number for Mimsie Farrar is 1114040029. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Q: What is Mimsie Farrar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mimsie Farrar was last updated on February 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 06, 2007PECOS Enrolled

3621 FOREST GLENN DR, MODESTO, CA 95355(209) 521-7411(209) 521-2640 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Mimsie M Farrar N.p. NPPES

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

MS. MIMSIE M FARRAR N.P. (NPI 1114040029) is an individual family provider in Modesto, California, licensed in California (NP12314) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114040029

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. MIMSIE M FARRARCredential: N.P.

Location Address3621 FOREST GLENN DRModesto, CA 95355-1339

Mailing Address3621 Forest Glenn DrModesto, CA 95355-1339 · (209) 521-7411 · Fax (209) 521-2640

Phone(209) 521-7411

Fax(209) 521-2640

Sole ProprietorNo

Enumeration DateApril 6, 2007

Last NPPES UpdateFebruary 24, 2016

✔ NPI 1114040029 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

License✔ Licensed in CA · NP12314

3621 FOREST GLENN DR, Modesto, CA 95355

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mimsie M Farrar N.p. 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.

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.

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Other Providers at the Same Location NPPES 6

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

MR. RAJESH KUMAR DUBEY M.D.

Internal Medicine (Cardiovascular Disease)