MICHELLIN DE LA ROSA - NPI 1962967778 - Nurse Practitioner in Panorama City, CA

Q: What is Michellin De La Rosa's NPI number?

The NPI number for Michellin De La Rosa is 1962967778. It was assigned to this individual provider in the NPPES registry on February 6, 2019.

Q: What is Michellin De La Rosa's specialty?

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

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About Michellin De La Rosa NPPES

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

MICHELLIN DE LA ROSA (NPI 1962967778) is an individual family provider in Panorama City, California, licensed in California (NP95010751) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1962967778

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELLIN DE LA ROSA

Location Address14457 ROSCOE BLVDPanorama City, CA 91402-3012

Mailing Address655 S Hope St Unit 903Los Angeles, CA 90017-3220 · (909) 618-7067

Phone(818) 810-5947

Sole ProprietorYes

Enumeration DateFebruary 6, 2019

Last NPPES UpdateSeptember 21, 20232 updates tracked since enumeration

NPPES CertifiedDecember 11, 2020

✔ NPI 1962967778 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 · NP95010751

14457 ROSCOE BLVD, Panorama City, CA 91402

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Secondary Practice Location 1

Location 110889 Wellworth AveLos Angeles, CA 90024-4918 · Phone (310) 474-2152

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michellin De La Rosa 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 91402 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 7

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

PANORAMA URGENT CARE FAMILY MEDICINE INC.

Clinic/Center (Urgent Care)