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KELSEA ROSE PA
NPI 1861076267
Physician Assistant in San Leandro, CA

Active since May 11, 2021PECOS EnrolledAccepts Medicare Assignment
14764 WICKS BLVD, SAN LEANDRO, CA 94577(510) 363-0051 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 4, 2022, May 11, 2021 (2 updates tracked since 2021).

About Kelsea Rose Pa NPPES

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

KELSEA ROSE PA (NPI 1861076267) is an individual physician assistant in San Leandro, California, licensed in California (59232) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861076267
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEA ROSECredential: PA
Location Address14764 WICKS BLVDSan Leandro, CA 94577-6718
Mailing Address1031 Walnut Ave Apt 2215Fremont, CA 94536-4396 · (954) 804-2464
Phone(510) 363-0051
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 11, 2021
Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2022
✔ NPI 1861076267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 59232
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
14764 WICKS BLVD, San Leandro, CA 94577
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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

Kelsea Rose Pa 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 ID9739555772
PECOS Enrollment IDI20221017002711
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94577 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kelsea Rose's NPI number?

The NPI number for Kelsea Rose is 1861076267. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Kelsea Rose located?

Kelsea Rose practices at 14764 Wicks Blvd, San Leandro, CA 94577. The listed phone number is (510) 363-0051.

What is Kelsea Rose's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelsea Rose enrolled in Medicare?

Yes. Kelsea Rose 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 Kelsea Rose was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.