ROSELANDE MENTOR FNP
NPI 1205425931
Nurse Practitioner - Family in Modesto, CA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Roselande Mentor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Modesto, CA 95350
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Golden Valley Health Centers
- 440 clinicians in this Medicare group
Modesto, CA 95350
- Reassigned Medicare billing, California enrollment
- 304 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.
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.
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.
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.
Which organizations bill Medicare for Roselande Mentor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roselande Mentor reassigns Medicare benefits to 2 organizations: Golden Valley Health Center (Modesto, CA) and American Current Care Of California, A Medical Corporation (Modesto, CA). 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 Roselande Mentor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Roselande Mentor, FNP · NPI 1205425931
Family physician in Modesto, California. Individual provider, active in the CMS NPPES registry since January 17, 2021.
## Identity
- **NPI:** 1205425931 (Entity type: Individual)
- **Enumerated:** January 17, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95019752 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1510 FLORIDA AVE STE A, Modesto, CA 95350-4437
- **Phone:** (866) 682-4842 · **Fax:** (877) 435-6573
## 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): Golden Valley Health Center (NPI 1033193610, Modesto, CA); American Current Care Of California, A Medical Corporation (NPI 1619444882, Modesto, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 11, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1205425931) · Data from the CMS NPPES public registry.