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ROXANNA ARELY CABALLERO NURSE PRACTICTIONER
NPI 1770102295
Nurse Practitioner - Pediatrics in Fresno, CA

Active since April 14, 2020PECOS Enrolled
185 N DOUGLAS AVE, FRESNO, CA 93727(559) 260-7850 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Roxanna Arely Caballero Nurse Practictioner NPPES

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

ROXANNA ARELY CABALLERO NURSE PRACTICTIONER (NPI 1770102295) is an individual pediatrics provider in Fresno, California, licensed in California (95014359) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1770102295
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameROXANNA ARELY CABALLEROCredential: NURSE PRACTICTIONER
Location Address185 N DOUGLAS AVEFresno, CA 93727-3637
Mailing Address185 N Douglas AveFresno, CA 93727-3637 · (559) 260-7850
Phone(559) 260-7850
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 14, 2020
NPPES CertifiedApril 14, 2020
✔ NPI 1770102295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · 95014359
185 N DOUGLAS AVE, Fresno, CA 93727
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Other Identifiers 1

Medicaid1113CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roxanna Arely Caballero Nurse Practictioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638592637
PECOS Enrollment IDI20200828000724
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 Roxanna Caballero reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventist Health Physicians Network
6.2 mi
Family Medicine
2317 JENSEN AVE
Sanger, CA 93657
  • Reassigned Medicare billing, California enrollment
  • 678 clinicians in this Medicare group
NPI 1831604818 (559) 365-7147
Permanente Medical Group Inc
126 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93727 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
5 suppliers20 claims40 services$6.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers14 claims19 services$1.20 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$183.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Roxanna Caballero's NPI number?

The NPI number for Roxanna Caballero is 1770102295. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Roxanna Caballero located?

Roxanna Caballero practices at 185 N Douglas Ave, Fresno, CA 93727. The listed phone number is (559) 260-7850.

What is Roxanna Caballero's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Roxanna Caballero enrolled in Medicare?

Yes. Roxanna Caballero is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Roxanna Caballero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roxanna Caballero reassigns Medicare benefits to 2 organizations: Adventist Health Physicians Network (Sanger, CA) and Permanente Medical Group Inc (Stockton, CA). 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 Roxanna Caballero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roxanna Caballero was last updated on April 14, 2020. 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.