MS. ROSEANNE GARRISON PA-C
NPI 1154409654
Physician Assistant - Medical in Riverside, CA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
4022 CHICAGO AVE, RIVERSIDE, CA 92507(855) 505-7467(888) 975-8926 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Roseanne Garrison Pa-c NPPES

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

MS. ROSEANNE GARRISON PA-C (NPI 1154409654) is an individual medical provider in Riverside, California, licensed in California (13823) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Moreno Valley, and is a graduate of University Of Southern California Keck School Of Medicine (1995).

NPPES Registry Identity

NPI1154409654
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. ROSEANNE GARRISONCredential: PA-C
Location Address4022 CHICAGO AVERiverside, CA 92507-5340
Mailing Address495 E Rincon St Ste 215Corona, CA 92879-1378 · (951) 523-0117 · Fax (951) 394-0685
Fax(888) 975-8926
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1995
Enumeration DateNovember 1, 2006
Last NPPES UpdateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
NPI 1154409654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · 13823
4022 CHICAGO AVE, Riverside, CA 92507

Secondary Practice Location 1

Location 113925 Indian StMoreno Valley, CA 92553-5718 · Phone (855) 505-7467 · Fax (888) 975-8926

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

Ms. Roseanne Garrison Pa-c 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 ID1557305190
PECOS Enrollment IDI20050615000272
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers21 claims55 services$4.98 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims21 services$1.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Internal Medicine
4022 CHICAGO AVE
RIVERSIDE, CA 92507
Pediatrics
4022 CHICAGO AVE
RIVERSIDE, CA 92507
Family Medicine
4022 CHICAGO AVE
RIVERSIDE, CA 92507

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 Roseanne Garrison's NPI number?

The NPI number for Roseanne Garrison is 1154409654. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Roseanne Garrison located?

Roseanne Garrison practices at 4022 Chicago Ave, Riverside, CA 92507. The listed phone number is (855) 505-7467.

What is Roseanne Garrison's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Roseanne Garrison enrolled in Medicare?

Yes. Roseanne Garrison 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.

When was this NPI record last updated?

The NPPES record for Roseanne Garrison was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.