ELLEN M ROCHE F.N.P.
NPI 1326021320
Nurse Practitioner - Family in Santa Rosa, CA

Q: What is Ellen Roche's NPI number?

The NPI number for Ellen Roche is 1326021320. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Q: What is Ellen Roche'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 Ellen Roche was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 22, 2005PECOS Enrolled

4750 HOEN AVE, SUITE B, SANTA ROSA, CA 95405(707) 542-1611(707) 542-9958 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Ellen M Roche F.n.p. NPPES

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

ELLEN M ROCHE F.N.P. (NPI 1326021320) is an individual family provider in Santa Rosa, California, licensed in California (NP793) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326021320

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELLEN M ROCHECredential: F.N.P.

Location Address4750 HOEN AVE, SUITE BSanta Rosa, CA 95405-7824

Mailing Address4750 Hoen Ave, Suite BSanta Rosa, CA 95405-7824 · (707) 542-1611 · Fax (707) 542-9958

Phone(707) 542-1611

Fax(707) 542-9958

Sole ProprietorNo

Enumeration DateNovember 22, 2005

Last NPPES UpdateFebruary 4, 2021

NPPES CertifiedFebruary 4, 2021

✔ NPI 1326021320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in CA · NP793✔ Licensed in CA · 237030

4750 HOEN AVE, Santa Rosa, CA 95405

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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 (PECOS)

Ellen M Roche F.n.p. 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.

Medicare Billing Reassignment

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

Providence Medical Foundation

1.9 mi

Internal Medicine

500 DOYLE PARK DR, SUITE 303
Santa Rosa, CA 95405

Reassigned Medicare billing, California enrollment
1,699 clinicians in this Medicare group

NPI 1740584473 (707) 303-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

148 services143 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.

144 services136 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

46 services45 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.

38 services38 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

19 services19 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

SUTTER MEDICAL GROUP OF THE REDWOODS

Family Medicine

4750 HOEN AVE
SANTA ROSA, CA 95405

Sonoma County (707) 523-2666

ST JUDE HOSPITAL YORBA LINDA

Family Medicine

4750 HOEN AVE
SANTA ROSA, CA 95405

Sonoma County (707) 542-1611

DR. CYNTHIA MORRIS M.D.

Family Medicine

4750 HOEN AVE
SANTA ROSA, CA 95405

Sonoma County (707) 542-1611

DR. HERBERT DEAN BROSBE M.D.

Family Medicine

4750 HOEN AVE
SANTA ROSA, CA 95405

Sonoma County (707) 542-1611

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 Ellen Roche's NPI number?

The NPI number for Ellen Roche is 1326021320. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Ellen Roche located?

Ellen Roche practices at 4750 Hoen Ave Suite B, Santa Rosa, CA 95405. The listed phone number is (707) 542-1611.

What is Ellen Roche's specialty?

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

Is Ellen Roche enrolled in Medicare?

Yes. Ellen Roche is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ellen Roche's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Roche reassigns Medicare benefits to Providence Medical Foundation (Santa Rosa, 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 Ellen Roche'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 Ellen Roche was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.