DR. CORAL ROSEBERRY DNP, FNP, AGNP
NPI 1255012860
Nurse Practitioner - Family in La Mesa, CA

Active since July 26, 2023PECOS Enrolled
8851 CENTER DR STE 408, LA MESA, CA 91942(619) 583-1174 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 23, 2023, Jul 26, 2023 (2 updates tracked since 2023).

About Dr. Coral Roseberry Dnp, Fnp, Agnp NPPES

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

DR. CORAL ROSEBERRY DNP, FNP, AGNP (NPI 1255012860) is an individual family provider in La Mesa, California, licensed in California (95026375) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255012860
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. CORAL ROSEBERRYCredential: DNP, FNP, AGNP
Location Address8851 CENTER DR STE 408La Mesa, CA 91942-3076
Mailing Address9395 Harritt Rd Spc 111Lakeside, CA 92040-3530
Sole ProprietorNo
Enumeration DateJuly 26, 2023
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
NPI 1255012860 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 · 95026375
Also ListedRegistered NurseTaxonomy 163W00000X · License RN95169759 (CA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 95026375 (CA)
8851 CENTER DR STE 408, La Mesa, CA 91942

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Coral Roseberry Dnp, Fnp, Agnp 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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
122 services115 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
30 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
8851 CENTER DR STE 408
LA MESA, CA 91942
Nurse Practitioner (Family)
8851 CENTER DR STE 408
LA MESA, CA 91942
Nurse Practitioner (Family)
8851 CENTER DR STE 408
LA MESA, CA 91942
Nurse Practitioner (Primary Care)
8851 CENTER DR STE 408
LA MESA, CA 91942

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 Coral Roseberry's NPI number?

The NPI number for Coral Roseberry is 1255012860. It was assigned to this individual provider in the NPPES registry on July 26, 2023.

Where is Coral Roseberry located?

Coral Roseberry practices at 8851 Center Dr Ste 408, La Mesa, CA 91942. The listed phone number is (619) 583-1174.

What is Coral Roseberry's specialty?

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

Is Coral Roseberry enrolled in Medicare?

Yes. Coral Roseberry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Coral Roseberry was last updated on August 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.