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ANNIE ROSE CONDOLON-KOHLER NP
NPI 1174086359
Nurse Practitioner - Family in Fairfield, CA

Active since April 13, 2019PECOS EnrolledAccepts Medicare Assignment
4520 BUSINESS CENTER DR, FAIRFIELD, CA 94534(707) 646-5500 Get Directions Write a Review

NPPES record last updated: April 13, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Annie Rose Condolon-kohler Np NPPES

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

ANNIE ROSE CONDOLON-KOHLER NP (NPI 1174086359) is an individual family provider in Fairfield, California, licensed in California (95011293) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174086359
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANNIE ROSE CONDOLON-KOHLERCredential: NP
Location Address4520 BUSINESS CENTER DRFairfield, CA 94534-6888
Mailing Address1724 Ashtree CtFairfield, CA 94534-3964 · (484) 866-0654
Phone(707) 646-5500
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 13, 2019
✔ NPI 1174086359 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 · 95011293
4520 BUSINESS CENTER DR, Fairfield, CA 94534
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Annie Rose Condolon-kohler 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 ID4981934536
PECOS Enrollment IDI20190924001953
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 Reassignments

2

Medicare enrollment records show Annie Rose Condolon-kohler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northbay Health Medical Foundation
Same address
Internal Medicine
4500 BUSINESS CENTER DR
Fairfield, CA 94534
  • Reassigned Medicare billing, California enrollment
  • 225 clinicians in this Medicare group
NPI 1760283527 (707) 646-3110
Northbay Healthcare Group
5.2 mi
Addiction Medicine
1860 PENNSYLVANIA AVE STE 230
Fairfield, CA 94533
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Northbay Physicians Surgery Center, LLC
  • 516 clinicians in this Medicare group
NPI 1780736736 (707) 646-4370

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
315 services191 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
68 services60 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
66 services53 patients
Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421
This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.
36 services29 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
21 services20 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
17 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94534 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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.

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
10 suppliers17 claims33 services$4.30 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers11 claims1,560 services$0.10 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

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

NICHOLAS MAALOUF DO
Internal Medicine
4520 BUSINESS CENTER DR, 4520 BUSINESS CENTER DR
FAIRFIELD, CA 94534
Solano County (707) 646-3500

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 Annie Rose Condolon-kohler's NPI number?

The NPI number for Annie Rose Condolon-kohler is 1174086359. It was assigned to this individual provider in the NPPES registry on April 13, 2019.

Where is Annie Rose Condolon-kohler located?

Annie Rose Condolon-kohler practices at 4520 Business Center Dr, Fairfield, CA 94534. The listed phone number is (707) 646-5500.

What is Annie Rose Condolon-kohler's specialty?

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

Is Annie Rose Condolon-kohler enrolled in Medicare?

Yes. Annie Rose Condolon-kohler 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.

Which organizations bill Medicare for Annie Rose Condolon-kohler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annie Rose Condolon-kohler reassigns Medicare benefits to 2 organizations: Northbay Health Medical Foundation (Fairfield, CA) and Northbay Healthcare Group (Fairfield, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Annie Rose Condolon-kohler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Annie Rose Condolon-kohler was last updated on April 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.