ROXZY R. RUELLE PA
NPI 1205231065
Physician Assistant in Roseville, CA

Q: What is Roxzy Ruelle's NPI number?

The NPI number for Roxzy Ruelle is 1205231065. It was assigned to this individual provider in the NPPES registry on October 22, 2014.

Q: What is Roxzy Ruelle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roxzy Ruelle was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 22, 2014PECOS Enrolled

680 SUNRISE AVE, ROSEVILLE, CA 95661(916) 786-4700(916) 786-3912 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 8, 2020, Apr 11, 2018 (2 updates tracked since 2018).

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About Roxzy R. Ruelle Pa NPPES

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

ROXZY R. RUELLE PA (NPI 1205231065) is an individual physician assistant in Roseville, California, licensed in California (TPA1006) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Daphne.

NPPES Registry Identity

NPI1205231065

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameROXZY R. RUELLECredential: PA

Location Address680 SUNRISE AVERoseville, CA 95661-4110

Mailing Address29710 Urgent Care DrDaphne, AL 36526-9595 · (251) 626-3782 · Fax (251) 626-0787

Phone(916) 786-4700

Fax(916) 786-3912

Sole ProprietorNo

Enumeration DateOctober 22, 2014

Last NPPES UpdateFebruary 20, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2026

✔ NPI 1205231065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · TPA1006

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 1422 (AL)

680 SUNRISE AVE, Roseville, CA 95661

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Secondary Practice Location 1

Location 129710 Urgent Care DrDaphne, AL 36526-9595 · Phone (251) 626-3782 ext. 25162 · Fax (251) 626-0787

Other Identifiers 1

Other512-21005AL · Bcbs Of Al

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roxzy R. Ruelle Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95661 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 8

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

JOHN PAUL YOUSSRY KELADA MD

Family Medicine