MATHILDA KALINA FNP-C
NPI 1194554097
Nurse Practitioner - Family in Santa Rosa, CA
About Mathilda Kalina Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATHILDA KALINA FNP-C (NPI 1194554097) is an individual family provider in Santa Rosa, California, licensed in California (95030314) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Providence Seaside Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mathilda Kalina Fnp-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.
Medicare Billing Reassignments
2Medicare enrollment records show Mathilda Kalina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Rosa, CA 95403
- Reassigned Medicare billing, California enrollment
- 215 clinicians in this Medicare group
Cannon Beach, OR 97110
- Reassigned Medicare billing, Oregon enrollment
- 301 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Seaside Hospital
Critical Access Hospitals · Seaside, ORColumbia Memorial Hospital
Critical Access Hospitals · Astoria, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA ROSA, CA 95403
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 Mathilda Kalina's NPI number?
The NPI number for Mathilda Kalina is 1194554097. It was assigned to this individual provider in the NPPES registry on July 29, 2024.
Where is Mathilda Kalina located?
Mathilda Kalina practices at 3569 Round Barn Cir, Santa Rosa, CA 95403. The listed phone number is (707) 303-3600.
What is Mathilda Kalina's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mathilda Kalina enrolled in Medicare?
Yes. Mathilda Kalina 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 Mathilda Kalina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mathilda Kalina reassigns Medicare benefits to 2 organizations: Santa Rosa Community Health Centers (Santa Rosa, CA) and Providence Health & Services Oregon (Cannon Beach, OR). 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 Mathilda Kalina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mathilda Kalina accept?
Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Mathilda Kalina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mathilda Kalina affiliated with any hospitals?
According to CMS data, Mathilda Kalina is affiliated with Providence Seaside Hospital and Columbia Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Mathilda Kalina was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mathilda Kalina, FNP-C · NPI 1194554097
Family physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since July 29, 2024.
## Identity
- **NPI:** 1194554097 (Entity type: Individual)
- **Enumerated:** July 29, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95030314 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3569 ROUND BARN CIR, Santa Rosa, CA 95403-5781
- **Phone:** (707) 303-3600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Santa Rosa Community Health Centers (NPI 1578631172, Santa Rosa, CA); Providence Health & Services Oregon (NPI 1841756764, Cannon Beach, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194554097) · Data from the CMS NPPES public registry.