WELLAH MARIE SOMBILLA SAN BUENAVENTURA
NPI 1548806953
Nurse Practitioner - Gerontology in Atwater, CA

Active since November 20, 2019PECOS EnrolledAccepts Medicare Assignment
90.74/100
CMS Quality Rating
1775 3RD ST, ATWATER, CA 95301(209) 358-5611 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wellah Marie Sombilla San Buenaventura NPPES

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

WELLAH MARIE SOMBILLA SAN BUENAVENTURA (NPI 1548806953) is an individual gerontology provider in Atwater, California, licensed in California (95013309) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1548806953
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameWELLAH MARIE SOMBILLA SAN BUENAVENTURA
Location Address1775 3RD STAtwater, CA 95301-3608
Mailing Address4011 St Tropez CtMerced, CA 95348-9539
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 20, 2019
NPI 1548806953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in CA · 95013309
1775 3RD ST, Atwater, CA 95301

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

Wellah Marie Sombilla San Buenaventura 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 ID3375974223
PECOS Enrollment IDI20200511001325
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
82 services75 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95301 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.

90.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.1
Improvement Activities40
Cost75.66

Referred Medical Equipment & Supplies CMS DME claims 9

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
12 suppliers74 claims177 services$5.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers32 claims36 services$0.91 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
2 suppliers17 claims17 services$811.74 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers17 claims17 services$5.20 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$41.02 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
2 suppliers12 claims12 services$81.77 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 8

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

Family Medicine
1775 3RD ST
ATWATER, CA 95301
Family Medicine
1775 3RD ST
ATWATER, CA 95301
Family Medicine
1775 3RD ST
ATWATER, CA 95301
Family Medicine
1775 3RD ST
ATWATER, CA 95301
Family Medicine
1775 3RD ST
ATWATER, CA 95301
Clinic/Center (Primary Care)
1775 3RD ST
ATWATER, CA 95301
Nurse Practitioner (Family)
1775 3RD ST
ATWATER, CA 95301
Physician Assistant
1775 3RD ST
ATWATER, CA 95301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548806953, enumerated as an "individual" on November 20, 2019.

The provider is located at 1775 3RD ST ATWATER, CA 95301 and the phone number is (209) 358-5611.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.