ROCIO ESMERALDA SANCHEZ
NPI 1649821786
Nurse Practitioner - Family in Allendale, MI

Active since September 20, 2019PECOS EnrolledAccepts Medicare Assignment
10383 42ND AVE, ALLENDALE, MI 49401(616) 252-6030(616) 252-6035 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2019, Sep 20, 2019 (2 updates tracked since 2019).

About Rocio Esmeralda Sanchez NPPES

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

ROCIO ESMERALDA SANCHEZ (NPI 1649821786) is an individual family provider in Allendale, Michigan, licensed in Michigan (4704275584) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health - West, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649821786
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROCIO ESMERALDA SANCHEZ
Location Address10383 42ND AVEAllendale, MI 49401-8207
Mailing Address10383 42nd Ave Ste AAllendale, MI 49401-8207
Fax(616) 252-6035
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 20, 2019
Last NPPES UpdateDecember 11, 20192 updates tracked since enumeration
NPI 1649821786 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
License Licensed in MI · 4704275584
10383 42ND AVE, Allendale, MI 49401

Accepted 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

Rocio Esmeralda Sanchez 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 ID2567794654
PECOS Enrollment IDI20191022002510
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services15 patients

Hospital Affiliations CMS Care Compare

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

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49401 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 2

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

Nurse Practitioner (Family)
10383 42ND AVE
ALLENDALE, MI 49401
Physician Assistant (Medical)
10383 42ND AVE
ALLENDALE, MI 49401

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 Rocio Sanchez's NPI number?

The NPI number for Rocio Sanchez is 1649821786. It was assigned to this individual provider in the NPPES registry on September 20, 2019.

Where is Rocio Sanchez located?

Rocio Sanchez practices at 10383 42nd Ave, Allendale, MI 49401. The listed phone number is (616) 252-6030.

What is Rocio Sanchez's specialty?

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

Is Rocio Sanchez enrolled in Medicare?

Yes. Rocio Sanchez 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.

What insurance does Rocio Sanchez accept?

Health plans from Priority Health and UnitedHealthcare list Rocio Sanchez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rocio Sanchez affiliated with any hospitals?

According to CMS data, Rocio Sanchez is affiliated with University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Rocio Sanchez was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.