RODELLE ANN N. DE VERA NP
NPI 1164112041
Nurse Practitioner - Family in San Jose, CA

Q: What is Rodelle Ann De Vera's NPI number?

The NPI number for Rodelle Ann De Vera is 1164112041. It was assigned to this individual provider in the NPPES registry on May 12, 2023.

Q: What is Rodelle Ann De Vera's specialty?

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

Active since May 12, 2023PECOS EnrolledAccepts Medicare Assignment

470 BLOSSOM HILL RD, SAN JOSE, CA 95123(408) 578-4900 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Rodelle Ann N. De Vera Np NPPES

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

RODELLE ANN N. DE VERA NP (NPI 1164112041) is an individual family provider in San Jose, California, licensed in California (95024513) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164112041

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRODELLE ANN N. DE VERACredential: NP

Location Address470 BLOSSOM HILL RDSan Jose, CA 95123-3301

Mailing Address470 Blossom Hill RdSan Jose, CA 95123-3301 · (408) 578-4900

Phone(408) 578-4900

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMay 12, 2023

NPPES CertifiedMay 12, 2023

✔ NPI 1164112041 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 · 95024513

470 BLOSSOM HILL RD, San Jose, CA 95123

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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 and accepts Medicare assignment

Rodelle Ann N. De Vera Np 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 ID6800254764

PECOS Enrollment IDI20230626000117

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 95123 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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 6

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

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