Nisha Ann Roy, - Medicare Nurse Practitioner in Modesto, CA

  1. Home
Nisha Ann Roy, is a medicare enrolled "Nurse Practitioner" physician in Modesto, California. Her current practice location is 1923 Coffee Rd Ste 12, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 409-8454.

Nisha Ann Roy is licensed to practice in California (license number NP95008421) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063903201.

Contact Information

Nisha Ann Roy,
1923 Coffee Rd Ste 12,
Modesto, CA 95355-2708
(209) 409-8454
Not Available

Map and Direction




Physician's Profile

Full NameNisha Ann Roy
GenderFemale
SpecialityNurse Practitioner
Location1923 Coffee Rd Ste 12, Modesto, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063903201
  • Provider Enumeration Date: 05/23/2018
  • Last Update Date: 07/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4981955051
  • Enrollment ID: I20180928002177

Medical Identifiers

Medical identifiers for Nisha Ann Roy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063903201NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207KA0200XAllergy & Immunology - Allergy NP95008421 (California)Secondary
363L00000XNurse Practitioner NP95008421 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nisha Ann Roy allows following entities to bill medicare on her behalf.
Entity NameBaz Allergy Asthma & Sinus Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710906995
PECOS PAC ID: 6507770716
Enrollment ID: O20031112000791
Entity NameAltamont Emergency Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952392375
PECOS PAC ID: 5496700759
Enrollment ID: O20050318000840

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nisha Ann Roy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nisha Ann Roy,
1923 Coffee Rd Ste 12,
Modesto, CA 95355-2708

Ph: (209) 409-8454		Nisha Ann Roy,
1923 Coffee Rd Ste 12,
Modesto, CA 95355-2708

Ph: (209) 409-8454

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.