Active NPI
Nisha Ann Roy
- Nurse Practitioner
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP95008421
- Practice address
- 1923 Coffee Rd Ste 12
Modesto, CA 95355-2708 - Phone
- (209) 409-8454
- NPI assigned
- May 23, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Tracy, CA
- NPI 1952392375
CA
-
- Emergency Medicine Physician
- French Camp, CA
- NPI 1467863290
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180928002177 | CA | Practitioner - Nurse Practitioner | 4981955051 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95008421 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Altamont Emergency Physicians Medical Group Inc | Current | Accepting new patients | |
| Baz Allergy, Asthma & Sinus Center, Inc. | Allergy | Current | Accepting new patients |
| Baz Allergy, Asthma & Sinus Center | Allergy | Current | Accepting new patients |
| Baz Allergy, Asthma & Sinus Center, Inc. | Allergy | Current | Accepting new patients |
Locations
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
7471 N Fresno St
Fresno, CA 93720
Phone (559) 436-4500
1560 W Lacey Blvd
Ste 103
Hanford, CA 93230
Phone (559) 582-8500
1415 Badger Flat Rd
Ste A
Los Banos, CA 93635
Phone (209) 710-8684
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
450 Glass Ln
Ste C
Modesto, CA 95356
1923 Coffee Rd
Ste 12C
Modesto, CA 95355
Phone (209) 409-8454
1420 N Tracy Blvd
Tracy, CA 95376
Phone (209) 832-6018
Interoperability endpoints
- nroy590362@hisp.ehr.sutterhealth.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | NP95008421 | CA | |
| Nurse Practitioner | 363L00000X | NP95008421 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1923 Coffee Rd Ste 12
Modesto, CA 95355-2708
Mailing address
1923 Coffee Rd Ste 12
Modesto, CA 95355-2708
Phone (209) 409-8454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2024.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1063903201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 COFFEE RD STE 12",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552708",
"telephone_number": "209-409-8454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 COFFEE RD STE 12",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552708",
"telephone_number": "209-409-8454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "NISHA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-23",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "CA",
"license": "NP95008421",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP95008421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.