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MISS ROSAN MENDOZA DERAYUNAN FNP-BC
NPI 1740942481
Nurse Practitioner - Family in Simi Valley, CA

Active since October 11, 2021PECOS EnrolledAccepts Medicare Assignment
1720 E LOS ANGELES AVE STE 231, SIMI VALLEY, CA 93065(805) 980-7574(805) 426-8781 Get Directions Write a Review

NPPES record last updated: March 4, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 4, 2023, Oct 11, 2021 (2 updates tracked since 2021).

About Miss Rosan Mendoza Derayunan Fnp-bc NPPES

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

MISS ROSAN MENDOZA DERAYUNAN FNP-BC (NPI 1740942481) is an individual family provider in Simi Valley, California, licensed in California (95018575) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1740942481
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS ROSAN MENDOZA DERAYUNANCredential: FNP-BC
Location Address1720 E LOS ANGELES AVE STE 231Simi Valley, CA 93065-5813
Mailing Address2788 Fyler PlLos Angeles, CA 90065-5106 · (323) 317-1769
Phone(805) 980-7574
Fax(805) 426-8781
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 11, 2021
Last NPPES UpdateMarch 4, 20232 updates tracked since enumeration
NPPES CertifiedMarch 4, 2023
✔ NPI 1740942481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95018575
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95018575 (CA)
1720 E LOS ANGELES AVE STE 231, Simi Valley, CA 93065
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Secondary Practice Location 1

Location 12788 Fyler PlLos Angeles, CA 90065-5106 · Phone (323) 317-1769

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

Miss Rosan Mendoza Derayunan Fnp-bc 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 ID8628464195
PECOS Enrollment IDI20220408002241
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 10

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
1,175 services265 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
873 services213 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
320 services141 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
274 services151 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
264 services264 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
199 services177 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93065 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

MR. RONALD DERAYUNAN NP
Nurse Practitioner (Psychiatric/Mental Health)
1720 E LOS ANGELES AVE STE 231
SIMI VALLEY, CA 93065
Ventura County (310) 980-7475
HUMANITY MEDICAL GROUP INC.
Internal Medicine (Hematology & Oncology)
1720 E LOS ANGELES AVE STE 231
SIMI VALLEY, CA 93065
Ventura County (805) 980-7574

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 Rosan Derayunan's NPI number?

The NPI number for Rosan Derayunan is 1740942481. It was assigned to this individual provider in the NPPES registry on October 11, 2021.

Where is Rosan Derayunan located?

Rosan Derayunan practices at 1720 E Los Angeles Ave Ste 231, Simi Valley, CA 93065. The listed phone number is (805) 980-7574.

What is Rosan Derayunan's specialty?

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

Is Rosan Derayunan enrolled in Medicare?

Yes. Rosan Derayunan 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.

When was this NPI record last updated?

The NPPES record for Rosan Derayunan was last updated on March 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.