KATHRYN ROSENBERG
NPI 1255715900
Student in an Organized Health Care Education/Training Program in Martinez, CA

Active since July 13, 2015PECOS EnrolledAccepts Medicare Assignment
202 GLACIER DR, MARTINEZ, CA 94553(925) 957-2754 Get Directions Write a Review

NPPES record last updated: September 7, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kathryn Rosenberg NPPES

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

KATHRYN ROSENBERG (NPI 1255715900) is an individual student in an organized health care education/training program in Martinez, California and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255715900
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATHRYN ROSENBERG
Location Address202 GLACIER DRMartinez, CA 94553-4826
Mailing Address202 Glacier DrMartinez, CA 94553-4826 · (925) 957-2754
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 13, 2015
Last NPPES UpdateSeptember 7, 2016
✔ NPI 1255715900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselorTaxonomy 101Y00000X
202 GLACIER DR, Martinez, CA 94553

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

Kathryn Rosenberg 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 ID3870942063
PECOS Enrollment IDI20231213002522
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 Kathryn Rosenberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric Hospital
2100 NAPA VALLEJO HWY
Napa, CA 94558
  • Reassigned Medicare billing, California enrollment
  • 755 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.

Other Providers at the Same Location NPPES 20

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

Marriage & Family Therapist
202 GLACIER DR
MARTINEZ, CA 94553
Student in an Organized Health Care Education/Training Program
202 GLACIER DR
MARTINEZ, CA 94553
Marriage & Family Therapist
202 GLACIER DR
MARTINEZ, CA 94553
Clinic/Center (Mental Health (Including Community Mental Health Center))
202 GLACIER DR
MARTINEZ, CA 94553
Counselor (Mental Health)
202 GLACIER DR
MARTINEZ, CA 94553
Pharmacy
202 GLACIER DR
MARTINEZ, CA 94553
Psychologist
202 GLACIER DR
MARTINEZ, CA 94553
Counselor (Mental Health)
202 GLACIER DR
MARTINEZ, CA 94553

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 Kathryn Rosenberg's NPI number?

The NPI number for Kathryn Rosenberg is 1255715900. It was assigned to this individual provider in the NPPES registry on July 13, 2015.

Where is Kathryn Rosenberg located?

Kathryn Rosenberg practices at 202 Glacier Dr, Martinez, CA 94553. The listed phone number is (925) 957-2754.

What is Kathryn Rosenberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kathryn Rosenberg enrolled in Medicare?

Yes. Kathryn Rosenberg 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 Kathryn Rosenberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Rosenberg reassigns Medicare benefits to Department Of State Hospitals (Napa, 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 Kathryn Rosenberg'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 Kathryn Rosenberg was last updated on September 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.