1. Home
  2. Directory
  3. California
  4. Lakeport
  5. Nurse Practitioner
  6. NPI Profile

LORETTA ANCELLOTTI FNP
NPI 1386820322
Nurse Practitioner - Primary Care in Lakeport, CA

Active since January 19, 2008PECOS Enrolled
97.12/100
CMS Quality Rating
487 S MAIN ST, SUITE 122, LAKEPORT, CA 95453(707) 263-4360(707) 463-4036 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Loretta Ancellotti Fnp NPPES

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

LORETTA ANCELLOTTI FNP (NPI 1386820322) is an individual primary care provider in Lakeport, California, licensed in California (15237) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386820322
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLORETTA ANCELLOTTICredential: FNP
Location Address487 S MAIN ST, SUITE 122Lakeport, CA 95453-5315
Mailing Address260 Hospital Dr, Suite 207Ukiah, CA 95482-4533 · (707) 463-8000 · Fax (707) 462-1111
Phone(707) 263-4360
Fax(707) 463-4036
Sole ProprietorNo
Enumeration DateJanuary 19, 2008
Last NPPES UpdateNovember 16, 2011
✔ NPI 1386820322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 15237
487 S MAIN ST, Lakeport, CA 95453
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)

Loretta Ancellotti Fnp 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 95453 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers62 claims147 services$6.52 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers29 claims35 services$1.13 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier11 claims24 services$1.58 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims17 services$46.74 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier36 claims37 services$8.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers65 claims65 services$114.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SOCORRO ROCHA PADILLA LCSW-78088
Social Worker (Clinical)
487 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 263-4631
ADVENTIST HEALTH CLEARLAKE HOSPITAL INC
Clinic/Center (Rural Health)
487 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 263-4631
ADVENTIST HEALTH PHYSICIANS NETWORK
Clinic/Center (Multi-Specialty)
487 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 263-4631
BRITTANY RENEE COLE MD
Pediatrics
487 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 263-4360

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 Loretta Ancellotti's NPI number?

The NPI number for Loretta Ancellotti is 1386820322. It was assigned to this individual provider in the NPPES registry on January 19, 2008.

Where is Loretta Ancellotti located?

Loretta Ancellotti practices at 487 S Main St Suite 122, Lakeport, CA 95453. The listed phone number is (707) 263-4360.

What is Loretta Ancellotti's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Loretta Ancellotti enrolled in Medicare?

Yes. Loretta Ancellotti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Loretta Ancellotti was last updated on November 16, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.