ROSELYNN JOY SAMATMANAKIT HOGAN FNP
NPI 1205019510
Nurse Practitioner - Family in San Diego, CA

Active since December 10, 2007PECOS EnrolledAccepts Medicare Assignment
5454 EL CAJON BLVD, SAN DIEGO, CA 92115(619) 515-2400 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Oct 19, 2017 (2 updates tracked since 2017).

About Roselynn Joy Samatmanakit Hogan Fnp NPPES

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

ROSELYNN JOY SAMATMANAKIT HOGAN FNP (NPI 1205019510) is an individual family provider in San Diego, California, licensed in California (17852) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1205019510
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROSELYNN JOY SAMATMANAKIT HOGANCredential: FNP
Location Address5454 EL CAJON BLVDSan Diego, CA 92115-3621
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 906-4623 · Fax (619) 906-4564
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 10, 2007
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1205019510 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
Licenses Licensed in CA · 17852 Licensed in VA · 0024170446
5454 EL CAJON BLVD, San Diego, CA 92115

Secondary Practice Locations 3

Location 12760 Fletcher PkwyEl Cajon, CA 92020-2110 · Phone (866) 389-2727 · Fax (401) 652-9787
Location 23544 30th StSan Diego, CA 92104-4120 · Phone (619) 515-2424
Location 34874 Polk AveSan Diego, CA 92105-2026 · Phone (619) 515-2426

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

Roselynn Joy Samatmanakit Hogan Fnp 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 ID4880759034
PECOS Enrollment IDI20150925000383
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.

Areas of Expertise CMS Part B claims 2

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 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.
39 services39 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92115 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 20

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

Family Medicine
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Student in an Organized Health Care Education/Training Program
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Marriage & Family Therapist
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Student in an Organized Health Care Education/Training Program
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Clinic/Center (Federally Qualified Health Center (FQHC))
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Student in an Organized Health Care Education/Training Program
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Social Worker (Clinical)
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Student in an Organized Health Care Education/Training Program
5454 EL CAJON BLVD
SAN DIEGO, CA 92115

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 Roselynn Hogan's NPI number?

The NPI number for Roselynn Hogan is 1205019510. It was assigned to this individual provider in the NPPES registry on December 10, 2007.

Where is Roselynn Hogan located?

Roselynn Hogan practices at 5454 El Cajon Blvd, San Diego, CA 92115. The listed phone number is (619) 515-2400.

What is Roselynn Hogan's specialty?

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

Is Roselynn Hogan enrolled in Medicare?

Yes. Roselynn Hogan 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 Roselynn Hogan was last updated on March 17, 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.