ROSA MARIA PERALTA FNP
NPI 1154580629
Nurse Practitioner - Family in Winterhaven, CA

Q: What is Rosa Peralta's NPI number?

The NPI number for Rosa Peralta is 1154580629. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Q: What is Rosa Peralta'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 Rosa Peralta was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 09, 2008PECOS Enrolled

401 PICACHO ROAD, WINTERHAVEN, CA 92283(760) 572-4100(760) 572-2113 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Rosa Maria Peralta Fnp NPPES

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

ROSA MARIA PERALTA FNP (NPI 1154580629) is an individual family provider in Winterhaven, California, licensed in California (NP17863) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154580629

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameROSA MARIA PERALTACredential: FNP

Location Address401 PICACHO ROADWinterhaven, CA 92283

Mailing AddressPo Box 1368Yuma, AZ 85366-1368 · (760) 572-4105 · Fax (760) 572-2133

Phone(760) 572-4100

Fax(760) 572-2113

Sole ProprietorNo

Enumeration DateJune 9, 2008

Last NPPES UpdateApril 19, 2018

✔ NPI 1154580629 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 · NP17863

401 PICACHO ROAD, Winterhaven, CA 92283

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Other Identifiers 2

Medicaid020511AZ

Other8HH866CA · Indiv Prov B

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rosa Maria Peralta Fnp 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 Reassignment

Medicare enrollment records show Rosa Peralta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhhs Phs Ihs Phoenix Area

Same address

Clinic/Center

401 PICACHO ROAD
Winterhaven, CA 92283

Reassigned Medicare billing, Texas enrollment
59 clinicians in this Medicare group

NPI 1265719918 (760) 572-4100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92283 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

$90.40 typical visit price

range $58.90 – $176.72

Typical copayment $22.60 (range $14.72 – $44.18)

Most-billed visit code 99203

Established Patient

$103.42 typical visit price

range $19.28 – $144.68

Typical copayment $25.85 (range $4.82 – $36.17)

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 19

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

KATHLEEN CHAN PHARMD

Pharmacist