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MS. MELISSA CLARICE KOMROSKY NP
NPI 1326030867
Nurse Practitioner - Family in San Jose, CA

Active since August 19, 2005PECOS Enrolled
2400 MOORPARK AVE, SUITE 100, SAN JOSE, CA 95128(408) 885-5167(408) 885-5169 Get Directions Write a Review

NPPES record last updated: February 27, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Melissa Clarice Komrosky Np NPPES

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

MS. MELISSA CLARICE KOMROSKY NP (NPI 1326030867) is an individual family provider in San Jose, California, licensed in California (RN 611446) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326030867
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MELISSA CLARICE KOMROSKYCredential: NP
Location Address2400 MOORPARK AVE, SUITE 100San Jose, CA 95128-2631
Mailing Address16770 Cabernet CirMorgan Hill, CA 95037-7081 · (650) 224-4854 · Fax (408) 782-8780
Phone(408) 885-5167
Fax(408) 885-5169
Sole ProprietorNo
Enumeration DateAugust 19, 2005
Last NPPES UpdateFebruary 27, 2012
✔ NPI 1326030867 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
License✔ Licensed in CA · RN 611446
2400 MOORPARK AVE, San Jose, CA 95128
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINQ29726CA
Medicare PINZZZ32707ZCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Melissa Clarice Komrosky Np 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 Melissa Komrosky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Santa Clara
Same address
Federally Qualified Health Center (FQHC)
2400 MOORPARK AVE, STE 100, 118, 204, 212, 220
San Jose, CA 95128
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1588721500 (California), NPI 1629301346 (California)
  • 2,460 clinicians in this Medicare group
NPI 1336135912 (408) 885-5000

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 95128 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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 20

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

LAUREN MARIE TWEEDIE PHARMD
Pharmacist
2400 MOORPARK AVE
SAN JOSE, CA 95128
Santa Clara County (760) 877-9501
KARINA PEREZ
Dietitian, Registered
2400 MOORPARK AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
TIMOTHY PATRICK ONG MD
Internal Medicine
2400 MOORPARK AVE, VHC MOORPARK INTERNAL MEDICINE CLINIC
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
CONSTANCE WENJUI LO MD
Internal Medicine
2400 MOORPARK AVE, VHC MOORPARK INTERNAL MEDICINE CLINIC
SAN JOSE, CA 95128
Santa Clara County (408) 885-5000
DR. JENNIFER YAH-RONG LEE PSY.D.
Psychologist (Clinical)
2400 MOORPARK AVE, SUITE 300
SAN JOSE, CA 95128
Santa Clara County (408) 975-2730
WANGPING ZHAO M.D.
Family Medicine
2400 MOORPARK AVE, SUITE #319
SAN JOSE, CA 95128
Santa Clara County (408) 975-2763
CHRISTINE AQUINO BAUTISTA MA
Counselor (Mental Health)
2400 MOORPARK AVE, 300
SAN JOSE, CA 95128
Santa Clara County (408) 975-2730
HY DIEP
Psychologist
2400 MOORPARK AVE, 300
SAN JOSE, CA 95128
Santa Clara County (408) 975-2730

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 Melissa Komrosky's NPI number?

The NPI number for Melissa Komrosky is 1326030867. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Melissa Komrosky located?

Melissa Komrosky practices at 2400 Moorpark Ave Suite 100, San Jose, CA 95128. The listed phone number is (408) 885-5167.

What is Melissa Komrosky's specialty?

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

Is Melissa Komrosky enrolled in Medicare?

Yes. Melissa Komrosky is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melissa Komrosky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Komrosky reassigns Medicare benefits to County Of Santa Clara (San Jose, 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 Melissa Komrosky'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 Melissa Komrosky was last updated on February 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.