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AGATHA J COVARRUBIAS NP
NPI 1417329640
Nurse Practitioner in Modesto, CA

Active since October 27, 2015PECOS Enrolled
3105 MCHENRY AVE STE 101, MODESTO, CA 95350(209) 575-2700 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2021, Aug 2, 2018 (2 updates tracked since 2018).

About Agatha J Covarrubias Np NPPES

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

AGATHA J COVARRUBIAS NP (NPI 1417329640) is an individual nurse practitioner in Modesto, California, licensed in California (95002944) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1417329640
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAGATHA J COVARRUBIASCredential: NP
Location Address3105 MCHENRY AVE STE 101Modesto, CA 95350-1439
Mailing Address215 M StPatterson, CA 95363-2121 · (205) 586-1983 · Fax (209) 874-3896
Phone(209) 575-2700
Sole ProprietorNo
Enumeration DateOctober 27, 2015
Last NPPES UpdateDecember 16, 20212 updates tracked since enumeration
NPPES CertifiedDecember 16, 2021
✔ NPI 1417329640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95002944
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 95069913 (CA)
Also ListedInternal MedicineTaxonomy 207R00000X · License A70897 (CA), A76562 (CA)
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License 60579117 (WA)
3105 MCHENRY AVE STE 101, Modesto, CA 95350
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Other Names 1

Former Name (1)Agatha I John

Secondary Practice Locations 3

Location 12222 E Orangeburg Ave Ste A2Modesto, CA 95355-3399 · Phone (209) 846-0321 · Fax (209) 622-0956
Location 2324 F StWaterford, CA 95386-9013 · Phone (209) 874-1292 · Fax (209) 874-3896
Location 31108 Ward Ave Bldg A Ste 1PATTERSON, CA 95363 · Phone (209) 892-1300 · Fax (209) 780-4141

Other Identifiers 1

Medicaid1093183261CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agatha J Covarrubias 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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.

Other Providers at the Same Location NPPES 3

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

LA LASER CENTER PC, A PROFESSIONAL MEDICAL CORPORATION
Clinic/Center (Medical Specialty)
3105 MCHENRY AVE STE 101
MODESTO, CA 95350
Stanislaus County (209) 900-1790
MARGARET ANH NGUYEN DZIAT AA-C
Physician Assistant (Medical)
3105 MCHENRY AVE STE 101
MODESTO, CA 95350
Stanislaus County (209) 575-2700
TANNER CAVANAUGH
Physician Assistant (Medical)
3105 MCHENRY AVE STE 101
MODESTO, CA 95350
Stanislaus County (209) 575-2700

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 Agatha Covarrubias's NPI number?

The NPI number for Agatha Covarrubias is 1417329640. It was assigned to this individual provider in the NPPES registry on October 27, 2015. The provider is also known as Agatha I John.

Where is Agatha Covarrubias located?

Agatha Covarrubias practices at 3105 Mchenry Ave Ste 101, Modesto, CA 95350. The listed phone number is (209) 575-2700.

What is Agatha Covarrubias's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Agatha Covarrubias enrolled in Medicare?

Yes. Agatha Covarrubias is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Agatha Covarrubias was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.