DANIELLE DEROSA PA-C
NPI 1194532960
Physician Assistant in Sacramento, CA

Active since December 16, 2024PECOS EnrolledAccepts Medicare Assignment
1430 22ND ST, SACRAMENTO, CA 95816(916) 453-0911 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2025, Dec 16, 2024 (2 updates tracked since 2024).

About Danielle Derosa Pa-c NPPES

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

DANIELLE DEROSA PA-C (NPI 1194532960) is an individual physician assistant in Sacramento, California and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194532960
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDANIELLE DEROSACredential: PA-C
Location Address1430 22ND STSacramento, CA 95816-5708
Mailing Address1430 22nd StSacramento, CA 95816-5708
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 16, 2024
Last NPPES UpdateMarch 21, 20252 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
NPI 1194532960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1430 22ND ST, Sacramento, CA 95816

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

Danielle Derosa 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 ID9133644313
PECOS Enrollment IDI20250421001594
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 95816 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
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 4

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

Neurological Surgery
1430 22ND ST
SACRAMENTO, CA 95816
Neurological Surgery
1430 22ND ST
SACRAMENTO, CA 95816
Neurological Surgery
1430 22ND ST
SACRAMENTO, CA 95816
Physician Assistant (Surgical)
1430 22ND ST
SACRAMENTO, CA 95816

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 Danielle Derosa's NPI number?

The NPI number for Danielle Derosa is 1194532960. It was assigned to this individual provider in the NPPES registry on December 16, 2024.

Where is Danielle Derosa located?

Danielle Derosa practices at 1430 22nd St, Sacramento, CA 95816. The listed phone number is (916) 453-0911.

What is Danielle Derosa's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Danielle Derosa enrolled in Medicare?

Yes. Danielle Derosa 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 Danielle Derosa was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.