Angela Rollisson, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95034879 Issued in CA

Practice address

510 Plaza Dr Ste 170
Folsom, CA 95630-4790

Phone

(916) 351-9400

Fax

(916) 351-9449

NPI assigned

May 2, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Group practices

Starlight Community Services IncGroup PAC ID 9436683364, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 35)

Interoperability endpoints

• Direct secure messaging: advancedpsychiatryassociates.angelarollisson@157293.advancedmd-direct.com

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.

• Starlight Community Services, Inc.

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1730352303
  Medicare reassignment Care Compare group NPD
• Hisham Soliman MD Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Folsom, CA
  • NPI 1700199080
  Medicare reassignment NPD
• Starlight Community Services, Inc.

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1902345788
  NPD
• H Soliman Medical Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Folsom, CA
  • NPI 1710595889

  Psychiatric/Mental Health

  NPD (past)
• Optimum Medical Supply Corporation

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
  • NPI 1720650476
  NPD (past)

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1679362016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 PLAZA DR STE 170",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304790",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PLAZA DR STE 170",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304790",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Broadway Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984023900",
            "country_code": "US",
            "telephone_number": "341-348-1133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7177 Brockton Ave Ste 444A",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062635",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1245 W 6th St # 120",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928821870",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5441 Aldrin Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933132194",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 Pacific Ave",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952045334",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2955 Main St Ste 110-K",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926145909",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1040 Park Ave Ste 200-A",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951263075",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4025 N Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937264026",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2062 Talbert Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959287718",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Maidu Dr",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "CA",
            "postal_code": "956035864",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2440 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956617773",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9381 E Stockton Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "956245070",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 13th St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953542444",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "622 Jackson St Unit 103",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945336195",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7365 Carnelian St Ste 222F",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917301157",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 W Hospitality Ln # 225-201P",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083237",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2345 Fletcher Pkwy",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920202134",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2386 Fair Oaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958254741",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1885 Lundy Ave Ste 223",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951311888",
            "country_code": "US",
            "telephone_number": "408-284-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 W Cameron Ave Ste 300-129",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917902724",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15720 Ventura Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362954",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44240 Fremont Blvd",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945386000",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1372 N Main St Ste 206-1",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945964692",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 4th Ave Ste 200G",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921035716",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 4th St Ste 12",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949013284",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1254 Mission St Ste 220",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941032706",
            "country_code": "US",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLLISSON",
        "first_name": "ANGELA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-02",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95034879",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "ARNP.AP.70076623-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Roelands, LMFT
• Patricia May Roemer, O.D.
• Carrie Getz Rogers, PSY.D.
• James Morgan Rogers, LMFT
• Rohini Rattu DDS, Inc.
• Carrie Lelon Roninger, DPT
• Marisa Ronquillo, LMFT
• Robin Roots, RN, IBCLC
• Mia Vanessa-Rose Rosas
• Richard M. a. Rosenberg, MPT, DPT

• Psychiatric/Mental Health Nurse Practitioner in Folsom, CA
• Providers in Folsom, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.