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COELITHIA NICOLE SOSA PA
NPI 1992560437
Physician Assistant in Granite Bay, CA

Active since February 14, 2024PECOS Enrolled
4200 DOUGLAS BLVD, GRANITE BAY, CA 95746(916) 938-2912(916) 771-6338 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2026, May 14, 2025 (2 updates tracked since 2025).

About Coelithia Nicole Sosa Pa NPPES

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

COELITHIA NICOLE SOSA PA (NPI 1992560437) is an individual physician assistant in Granite Bay, California, licensed in California (65013) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Florida State University College Of Medicine (2023).

NPPES Registry Identity

NPI1992560437
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOELITHIA NICOLE SOSACredential: PA
Location Address4200 DOUGLAS BLVDGranite Bay, CA 95746-5902
Mailing Address9200 Farmstead CirRoseville, CA 95747-4415 · (954) 625-5761
Phone(916) 938-2912
Fax(916) 771-6338
Sole ProprietorNo
Medical School CMSFlorida State University College Of MedicineGraduated 2023
Enumeration DateFebruary 14, 2024
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1992560437 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 · 65013
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.
4200 DOUGLAS BLVD, Granite Bay, CA 95746
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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 (PECOS)

Coelithia Nicole Sosa Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648758789
PECOS Enrollment IDI20260130001976
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 95746 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

Other Providers at the Same Location NPPES

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

SPINE & NERVE DIAGNOSTIC CENTER
Physical Medicine & Rehabilitation
4200 DOUGLAS BLVD
GRANITE BAY, CA 95746
Placer County (916) 722-5325

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 Coelithia Sosa's NPI number?

The NPI number for Coelithia Sosa is 1992560437. It was assigned to this individual provider in the NPPES registry on February 14, 2024.

Where is Coelithia Sosa located?

Coelithia Sosa practices at 4200 Douglas Blvd, Granite Bay, CA 95746. The listed phone number is (916) 938-2912.

What is Coelithia Sosa's specialty?

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

Is Coelithia Sosa enrolled in Medicare?

Yes. Coelithia Sosa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Coelithia Sosa was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.