VALERIE ROGGENBUCK (PA) – Physician Assistant, NPI 1104990274

VALERIE ROGGENBUCK (PA) is a healthcare provider. based in Vacaville, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 007982 (NY). The NPI Number for VALERIE ROGGENBUCK (PA) is 1104990274

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
VALERIE ROGGENBUCK (PA)
NPI
1104990274
Phone
(707) 624-7400
Address
1679 E MONTE VISTA AVE STE 104
Enumeration Date
20 November 2006
Last Update Date
6 May 2020

Doctor Profile

Medical School Name
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Secondary Phone
7076465500
Graduation Year
2000 (26 years ago)
PAC ID
7012979552
Group Practice PAC ID
3274010871
Professional Enrollment ID
I20180907001524
Address ID
CA956202024DI1305XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for VALERIE ROGGENBUCK (PA)

  • 104, East Monte Vista Avenue, Vacaville, Solano County, California, 95688, United States

    VACAVILLE, CA 956883123

    Phone: (707) 624-7400

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180907001524IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7671$0
99213Established patient office or other outpatient visit, 20-29 minutes7573$0
99203New patient office or other outpatient visit, 30-44 minutes6363$0
99204New patient office or other outpatient visit, 45-59 minutes4343$0
81003Automated urinalysis test3532$0
View full utilization report →

Insurance plans in this area (ZIP 95688)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274010871View full group profile
NameSpecialtyState
Family PracticeCA
Nurse PractitionerCA
Infectious DiseaseCA
Emergency MedicineCA
Nurse PractitionerCA
Physical Therapist In Private PracticeCA
Pulmonary Disease, Allergy/ImmunologyCA
Family PracticeCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What number should I use to identify VALERIE ROGGENBUCK (PA) for billing?
Administrative and clinical systems typically use NPI 1104990274 for VALERIE ROGGENBUCK (PA).
Is VALERIE ROGGENBUCK (PA)'s NPI status active today?
Active status means VALERIE ROGGENBUCK (PA)'s NPI record is not deactivated in the public file.
Which specialty label fits VALERIE ROGGENBUCK (PA)?
NPPES ties VALERIE ROGGENBUCK (PA) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit VALERIE ROGGENBUCK (PA) in Vacaville, California?
For routing, start with Vacaville, California for VALERIE ROGGENBUCK (PA), then verify phone and hours locally.
Can I export VALERIE ROGGENBUCK (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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