MITZI CAROLINA FOGG R.N., M.S.N., F.N.P.
NPI 1881802148
Nurse Practitioner - Family in Rohnert Park, CA

Q: What is Mitzi Fogg's NPI number?

The NPI number for Mitzi Fogg is 1881802148. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Q: What is Mitzi Fogg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mitzi Fogg was last updated on October 25, 2022. 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.

Active since May 18, 2007PECOS Enrolled

1801 E COTATI AVE, ROHNERT PARK, CA 94928(707) 664-2921(707) 664-2925 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2022, Mar 23, 2021 (2 updates tracked since 2021).

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About Mitzi Carolina Fogg R.n., M.s.n., F.n.p. NPPES

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

MITZI CAROLINA FOGG R.N., M.S.N., F.N.P. (NPI 1881802148) is an individual family provider in Rohnert Park, California, licensed in California (633049) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881802148

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMITZI CAROLINA FOGGCredential: R.N., M.S.N., F.N.P.

Location Address1801 E COTATI AVERohnert Park, CA 94928-3609

Mailing Address3538 Skillman LnPetaluma, CA 94952-1208 · (415) 827-0767

Phone(707) 664-2921

Fax(707) 664-2925

Sole ProprietorNo

Enumeration DateMay 18, 2007

Last NPPES UpdateOctober 25, 20222 updates tracked since enumeration

NPPES CertifiedOctober 25, 2022

✔ NPI 1881802148 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 CA · 633049

1801 E COTATI AVE, Rohnert Park, CA 94928

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Other Identifiers 1

Medicaid1881802148CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitzi Carolina Fogg R.n., M.s.n., F.n.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94928 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

MRS. PATRICIA G. MCBRIDE RNNP

Nurse Practitioner

1801 E COTATI AVE, SONOMA STATE UNIVERSITY
ROHNERT PARK, CA 94928

Sonoma County (707) 664-2921

MS. CYNTHIA SUE RENFREW RN,MS,FNP

Nurse Practitioner (Family)

1801 E COTATI AVE, SONOMA STATE UNIVERSITY STUDENT HEALTH CENTER
ROHNERT PARK, CA 94928

Sonoma County (707) 664-2921

MR. BO ERNEST OWENS ATC, CSCS

Specialist

1801 E COTATI AVE
ROHNERT PARK, CA 94928

Sonoma County (707) 664-4316

APRIL SEYMON M.A.T., A.T.C.

Specialist/Technologist (Athletic Trainer)

1801 E COTATI AVE
ROHNERT PARK, CA 94928

Sonoma County (707) 664-2421

JEANETTE MARIE MARRERO

Registered Nurse

1801 E COTATI AVE
ROHNERT PARK, CA 94928

Sonoma County (707) 664-2465

MS. GAIL HARRIET KRAMER RNNP

Nurse Practitioner (Adult Health)

1801 E COTATI AVE, STUDENT HEALTH CENTER
ROHNERT PARK, CA 94928

Sonoma County (707) 664-2921

DR. GEORGIA GRACE SCHWARTZ MD

Pediatrics (Adolescent Medicine)

1801 E COTATI AVE, STUDENT HEALTH CENTER
ROHNERT PARK, CA 94928

Sonoma County (707) 664-2921

MISS JENNIFER SARAH BUESCHER MSN FNP

Nurse Practitioner (Family)

1801 E COTATI AVE
ROHNERT PARK, CA 94928

Sonoma County (707) 843-0652

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 Mitzi Fogg's NPI number?

The NPI number for Mitzi Fogg is 1881802148. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Mitzi Fogg located?

Mitzi Fogg practices at 1801 E Cotati Ave, Rohnert Park, CA 94928. The listed phone number is (707) 664-2921.

What is Mitzi Fogg's specialty?

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

Is Mitzi Fogg enrolled in Medicare?

Yes. Mitzi Fogg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mitzi Fogg was last updated on October 25, 2022. 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.