MR. LUKE CODY ROY FNP-BC
NPI 1235696964
Nurse Practitioner - Family in La Mesa, CA

Q: What is Luke Roy's NPI number?

The NPI number for Luke Roy is 1235696964. It was assigned to this individual provider in the NPPES registry on February 28, 2019.

Q: What is Luke Roy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Luke Roy was last updated on March 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 28, 2019PECOS Enrolled

5555 GROSSMONT CENTER DR, LA MESA, CA 91942(619) 740-3058(619) 740-3967 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2024, Apr 30, 2019, Feb 28, 2019 (3 updates tracked since 2019).

On this page

About Mr. Luke Cody Roy Fnp-bc NPPES

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

MR. LUKE CODY ROY FNP-BC (NPI 1235696964) is an individual family provider in La Mesa, California, licensed in California (NP95011115) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235696964

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. LUKE CODY ROYCredential: FNP-BC

Location Address5555 GROSSMONT CENTER DRLa Mesa, CA 91942-3019

Mailing Address4320 Mayapan DrLa Mesa, CA 91941-7142 · (619) 335-6799

Phone(619) 740-3058

Fax(619) 740-3967

Sole ProprietorNo

Enumeration DateFebruary 28, 2019

Last NPPES UpdateMarch 4, 20243 updates tracked since enumeration

NPPES CertifiedMarch 4, 2024

✔ NPI 1235696964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP95011115

Also ListedRegistered NurseTaxonomy 163W00000X · License 786655 (CA)

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License B01084732 (CA)

5555 GROSSMONT CENTER DR, La Mesa, CA 91942

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Luke Cody Roy Fnp-bc 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 91942 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.

Leave this field empty