RONALD SALAZAR ROLLON NP
NPI 1649059924
Nurse Practitioner - Family in Plattsburgh, NY

Active since September 26, 2023PECOS EnrolledAccepts Medicare Assignment
206 CORNELIA ST, PLATTSBURGH, NY 12901(518) 561-2000 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2026, Oct 30, 2023, Oct 17, 2023 (3 updates tracked since 2023).

About Ronald Salazar Rollon Np NPPES

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

RONALD SALAZAR ROLLON NP (NPI 1649059924) is an individual family provider in Plattsburgh, New York, licensed in New York (356033) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1649059924
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRONALD SALAZAR ROLLONCredential: NP
Location Address206 CORNELIA STPlattsburgh, NY 12901-2878
Mailing Address111 Colchester AveBurlington, VT 05401-1473
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 26, 2023
Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1649059924 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
Licenses✔ Licensed in NY · 356033✔ Licensed in VT · 101.0136655
206 CORNELIA ST, Plattsburgh, NY 12901

Secondary Practice Locations 3

Location 1353 Blair Park RdWilliston, VT 05495-7530 · Phone (802) 847-3330
Location 2111 Colchester AveBurlington, VT 05401-1473 · Phone (802) 847-1288
Location 375 Beekman StPlattsburgh, NY 12901-1438 · Phone (518) 562-7530

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ronald Salazar Rollon Np 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 ID3577086537
PECOS Enrollment IDI20250331002088
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 Reassignments

2

Medicare enrollment records show Ronald Rollon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
75 BEEKMAN ST
Plattsburgh, NY 12901
  • Reassigned Medicare billing, New York enrollment
  • 675 clinicians in this Medicare group
Internal Medicine
111 COLCHESTER AVE
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • 1,643 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12901 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Obstetrics & Gynecology
206 CORNELIA ST, SUITE 306
PLATTSBURGH, NY 12901
Midwife
206 CORNELIA ST, SUITE 202
PLATTSBURGH, NY 12901
Obstetrics & Gynecology
206 CORNELIA ST, SUITE 202
PLATTSBURGH, NY 12901
Podiatrist
206 CORNELIA ST
PLATTSBURGH, NY 12901
Nurse Practitioner (Obstetrics & Gynecology)
206 CORNELIA ST, SUITE 202
PLATTSBURGH, NY 12901
Internal Medicine (Pulmonary Disease)
206 CORNELIA ST, STE 307
PLATTSBURGH, NY 12901
Midwife
206 CORNELIA ST, SUITE 306
PLATTSBURGH, NY 12901
Surgery
206 CORNELIA ST, SUITE 309
PLATTSBURGH, NY 12901

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 Ronald Rollon's NPI number?

The NPI number for Ronald Rollon is 1649059924. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Ronald Rollon located?

Ronald Rollon practices at 206 Cornelia St, Plattsburgh, NY 12901. The listed phone number is (518) 561-2000.

What is Ronald Rollon's specialty?

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

Is Ronald Rollon enrolled in Medicare?

Yes. Ronald Rollon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ronald Rollon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Rollon reassigns Medicare benefits to 2 organizations: Champlain Valley Physicians Hospital Medical Center (Plattsburgh, NY) and University Of Vermont Medical Center Inc (Burlington, VT). Each 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 Ronald Rollon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ronald Rollon affiliated with any hospitals?

According to CMS data, Ronald Rollon is affiliated with Champlain Valley Physicians Hospital Medical Ctr.

When was this NPI record last updated?

The NPPES record for Ronald Rollon was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.