MR. NICHOLAS MATTHEW ROALOFS
NPI 1518735166
Physician Assistant in Palm Desert, CA

Q: What is Nicholas Roalofs's NPI number?

The NPI number for Nicholas Roalofs is 1518735166. It was assigned to this individual provider in the NPPES registry on December 13, 2023.

Q: What is Nicholas Roalofs's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Roalofs was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 December 13, 2023PECOS EnrolledAccepts Medicare Assignment

44311 MONTEREY AVE, PALM DESERT, CA 92260(760) 773-6616(760) 773-6618 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2026, May 14, 2025, Feb 10, 2025 and 1 more (4 updates tracked since 2023).

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About Mr. Nicholas Matthew Roalofs NPPES

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

MR. NICHOLAS MATTHEW ROALOFS (NPI 1518735166) is an individual physician assistant in Palm Desert, California, licensed in California (PA68045) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1518735166

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. NICHOLAS MATTHEW ROALOFS

Location Address44311 MONTEREY AVEPalm Desert, CA 92260-2710

Mailing Address44311 Monterey AvePalm Desert, CA 92260-2710 · (760) 773-6616 · Fax (760) 773-6618

Phone(760) 773-6616

Fax(760) 773-6618

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 13, 2023

Last NPPES UpdateMay 5, 20264 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1518735166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA68045

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

44311 MONTEREY AVE, Palm Desert, CA 92260

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Nicholas Matthew Roalofs 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 ID8224548219

PECOS Enrollment IDI20250609003233

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 92260 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

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 7

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

MRS. LISSETTE SALAZAR FNP-C

Nurse Practitioner (Family)