Roseanna M Duenas, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

53976 Issued in CA

Practice address

6400 Lone Pine Rd
Sebastopol, CA 95472-5623

Phone

(707) 861-1187

Fax

(707) 261-0786

NPI assigned

Mar 24, 2017

Last updated

Apr 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Segal Telepsychiatry NetworkGroup PAC ID 1951564111, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roseanna.duenas.1@25478.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Segal Telepsychiatry Network

  • Psychoanalyst
  • Mill Valley, CA
  • NPI 1245529296
  Medicare reassignment Care Compare group
• Physician Assistant Consults, Inc.

  dba Intrinsic Wellness, A Physician Assistant Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sebastopol, CA
  • NPI 1740136068

  Medical

  NPD Authorized official
• Segal Telepsychiatry Network, PLLC

  • Psychiatry Physician
  • Mill Valley, CA
  • NPI 1518674852
  NPD

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1417488073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7019",
            "city": "COTATI",
            "state": "CA",
            "postal_code": "949317019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 LONE PINE RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954725623",
            "telephone_number": "707-861-1187",
            "fax_number": "707-261-0786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Redwood Hwy Frontage Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Mill Valley",
            "state": "CA",
            "postal_code": "949413055",
            "country_code": "US",
            "telephone_number": "866-247-4292",
            "fax_number": "866-247-4293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUENAS",
        "first_name": "ROSEANNA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.

Verify at the official NPI Registry.