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ROSELANDE MENTOR FNP
NPI 1205425931
Nurse Practitioner - Family in Modesto, CA

Active since January 17, 2021PECOS EnrolledAccepts Medicare Assignment
1510 FLORIDA AVE STE A, MODESTO, CA 95350(866) 682-4842(877) 435-6573 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2022, Jan 17, 2021 (2 updates tracked since 2021).

About Roselande Mentor Fnp NPPES

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

ROSELANDE MENTOR FNP (NPI 1205425931) is an individual family provider in Modesto, California, licensed in California (95019752) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205425931
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROSELANDE MENTORCredential: FNP
Location Address1510 FLORIDA AVE STE AModesto, CA 95350-4437
Mailing Address737 W Childs AveMerced, CA 95341-6805 · (866) 682-4842
Phone(866) 682-4842
Fax(877) 435-6573
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 17, 2021
Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2022
✔ NPI 1205425931 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 · 95019752✔ Licensed in FL · 11010774
1510 FLORIDA AVE STE A, Modesto, CA 95350
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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

Roselande Mentor 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 ID3971996893
PECOS Enrollment IDI20220216002335
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 95350 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 3

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

TANISHA MCNEAL FNP
Nurse Practitioner (Family)
1510 FLORIDA AVE STE A
MODESTO, CA 95350
Stanislaus County (866) 682-4842
THUY DUNG THI NGUYEN PA
Physician Assistant
1510 FLORIDA AVE STE A
MODESTO, CA 95350
Stanislaus County (209) 722-4842
LORETTA MYERS-WEBER NP-C
Nurse Practitioner (Family)
1510 FLORIDA AVE STE A
MODESTO, CA 95350
Stanislaus County (209) 492-7150

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 Roselande Mentor's NPI number?

The NPI number for Roselande Mentor is 1205425931. It was assigned to this individual provider in the NPPES registry on January 17, 2021.

Where is Roselande Mentor located?

Roselande Mentor practices at 1510 Florida Ave Ste A, Modesto, CA 95350. The listed phone number is (866) 682-4842.

What is Roselande Mentor's specialty?

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

Is Roselande Mentor enrolled in Medicare?

Yes. Roselande Mentor 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 Roselande Mentor was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.