Individual provider Active NPI

Hanna Chariz Roewer, FNP-BC

  • Nurse Practitioner
  • Paso Robles, CA
National Provider Identifier
1164889184
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9500633 Issued in CA
Practice address
1512 Park St
Paso Robles, CA 93446-2162
Phone
(805) 769-4001
Fax
(805) 372-2617
NPI assigned
Jan 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9500633 CA Primary
Family Nurse Practitioner 363LF0000X 209013145 IL

Addresses

Primary practice location

1512 Park St
Paso Robles, CA 93446-2162

Mailing address

1512 Park St
Paso Robles, CA 93446-2162
Phone (805) 769-4001

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170726003458 CA Practitioner - Nurse Practitioner 7618272535 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9500633CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Monterey County Memorial Hospital Current Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Jul 1, 2017 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Jul 14, 2018 Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Jul 14, 2018 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients

Locations

7512 Morro Rd
Atascadero, CA 93422
Phone (805) 461-3344

210 Canal St
King City, CA 93930
Phone (931) 385-7100

300 Canal St
King City, CA 93930
Phone (831) 385-6000

400 Canal St
Ste B
King City, CA 93930
Phone (831) 385-1280

150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254

2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014

1551 Bishop St
Ste A160
Sn Luis Obisp, CA 93401
Phone (805) 781-4230

325 Posada Ln
Templeton, CA 93465
Phone (805) 239-0644

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1164889184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 PARK ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462162",
            "telephone_number": "805-769-4001",
            "fax_number": "805-372-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 PARK ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462162",
            "telephone_number": "805-769-4001",
            "fax_number": "805-372-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEWER",
        "first_name": "HANNA CHARIZ",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "9500633",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

Verify at the official NPI Registry.