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DR. KENNETH EMERSON ROGERS PSY.D.
NPI 1215099163
Psychologist - Clinical in Elk Grove, CA

Active since December 15, 2006PECOS EnrolledAccepts Medicare Assignment
9324 W STOCKTON BLVD, ELK GROVE, CA 95758(916) 478-7716(916) 478-7760 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2022, Feb 6, 2020 (2 updates tracked since 2020).

About Dr. Kenneth Emerson Rogers Psy.d. NPPES

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

DR. KENNETH EMERSON ROGERS PSY.D. (NPI 1215099163) is an individual clinical provider in Elk Grove, California, licensed in California (20122) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1215099163
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KENNETH EMERSON ROGERSCredential: PSY.D.
Location Address9324 W STOCKTON BLVDElk Grove, CA 95758-8012
Mailing Address9324 W Stockton BlvdElk Grove, CA 95758-8012 · (916) 478-7716 · Fax (916) 478-7760
Phone(916) 478-7716
Fax(916) 478-7760
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 15, 2006
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2020
✔ NPI 1215099163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 20122
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
9324 W STOCKTON BLVD, Elk Grove, CA 95758
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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

Dr. Kenneth Emerson Rogers Psy.d. 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 ID8820231798
PECOS Enrollment IDI20130823001180
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.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Rogers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
28 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 95758 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
$180.85 typical visit price
range $60.44 – $180.85
Typical copayment $45.21 (range $15.11 – $45.21)
Most-billed visit code 99205
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 13

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

STEPHANIE KAWAS BARRY
Counselor
9324 W STOCKTON BLVD
ELK GROVE, CA 95758
Sacramento County (916) 525-6154
JIAXIN CHEN APCC
Counselor
9324 W STOCKTON BLVD
ELK GROVE, CA 95758
Sacramento County (916) 525-6100
DR. TAMARA MCGILLICUDDY PSYD
Psychologist (Clinical)
9324 W STOCKTON BLVD
ELK GROVE, CA 95758
Sacramento County (916) 525-6100
EMILY MARCH
Counselor (Mental Health)
9324 W STOCKTON BLVD
ELK GROVE, CA 95758
Sacramento County (916) 525-6100
ALEXIS MARIE DE LOS REYES
Counselor (Mental Health)
9324 W STOCKTON BLVD
ELK GROVE, CA 95758
Sacramento County (916) 525-6100
MS. SARAH ROBERTSON LCSW
Social Worker (Clinical)
9324 W STOCKTON BLVD
ELK GROVE, CA 95758
Sacramento County (916) 478-7631
DANNETTE MCCALMAN
Counselor
9324 W STOCKTON BLVD
ELK GROVE, CA 95758
Sacramento County (916) 525-6100
LACY BROWN
Counselor (Mental Health)
9324 W STOCKTON BLVD
ELK GROVE, CA 95758
Sacramento County (916) 525-6100

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 Kenneth Rogers's NPI number?

The NPI number for Kenneth Rogers is 1215099163. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Kenneth Rogers located?

Kenneth Rogers practices at 9324 W Stockton Blvd, Elk Grove, CA 95758. The listed phone number is (916) 478-7716.

What is Kenneth Rogers's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kenneth Rogers enrolled in Medicare?

Yes. Kenneth Rogers 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 organization bills Medicare for Kenneth Rogers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Rogers reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Kenneth Rogers'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 Kenneth Rogers was last updated on January 3, 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.