1. Home
  2. Directory
  3. California
  4. Mecca
  5. Nurse Practitioner
  6. NPI Profile

KATHERINE ROMAN NURSE PRACTICIONER
NPI 1114108578
Nurse Practitioner - Obstetrics & Gynecology in Mecca, CA

Active since November 14, 2007PECOS Enrolled
91275 66TH STREET, 500, MECCA, CA 92254(760) 396-1249(760) 572-2255 Get Directions Write a Review

NPPES record last updated: April 3, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Katherine Roman Nurse Practicioner NPPES

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

KATHERINE ROMAN NURSE PRACTICIONER (NPI 1114108578) is an individual obstetrics & gynecology provider in Mecca, California, licensed in California (6013) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114108578
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameKATHERINE ROMANCredential: NURSE PRACTICIONER
Location Address91275 66TH STREET, 500Mecca, CA 92254
Mailing Address91275 66th Ave, 500Mecca, CA 92254-5564 · (760) 396-1249 · Fax (760) 396-1253
Phone(760) 396-1249
Fax(760) 572-2255
Sole ProprietorYes
Enumeration DateNovember 14, 2007
Last NPPES UpdateApril 3, 2014
✔ NPI 1114108578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in CA · 6013
91275 66TH STREET, Mecca, CA 92254
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Roman Nurse Practicioner 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 92254 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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

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

DR. DAVID SEA JONG CHANG MD
Family Medicine
91275 66TH STREET, SUITE 500
MECCA, CA 92254
Riverside County (760) 396-1249

Frequently Asked Questions

What is Katherine Roman's NPI number?

The NPI number assigned to this healthcare provider is 1114108578, enumerated as an "individual" on November 14, 2007.

Where is the provider located?

The provider is located at 91275 66TH STREET 500 MECCA, CA 92254 and the phone number is (760) 396-1249.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LX0001X and a focus in Obstetrics & Gynecology.