MS. ROSEANNE GARRISON (PA-C) – Medical Physician Assistant, NPI 1154409654

MS. ROSEANNE GARRISON (PA-C) is a healthcare provider. based in Moreno valley, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 13823 (CA). The NPI Number for MS. ROSEANNE GARRISON (PA-C) is 1154409654

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MS. ROSEANNE GARRISON (PA-C)
NPI
1154409654
Phone
(855) 505-7467
Address
13925 Indian St
Enumeration Date
1 November 2006
Last Update Date
15 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
8555057467
Graduation Year
1995 (31 years ago)
PAC ID
1557305190
Group Practice PAC ID
5294785630
Professional Enrollment ID
I20050615000272
Address ID
CA925075340RI4022XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for MS. ROSEANNE GARRISON (PA-C)

  • 13925 Indian St

    Moreno Valley, CA 925535718

    Phone: (855) 505-7467

    Fax: (888) 975-8926

    Type: Location

  • Whittier Boulevard, Friendly Hills, Whittier, Los Angeles County, California, 90603, United States

    LOS ANGELES, CA 90022

    Phone: (323) 869-5322

    Fax: (323) 869-5362

    Type: Location

  • 3063, Crape Myrtle Circle, Chino Hills, San Bernardino County, California, 91709, United States

    CHINO HILLS, CA 917094236

    Phone: (323) 869-5322

    Fax: (323) 869-5362

    Type: Mailing

  • 495 E RINCON ST STE 215

    CORONA, CA 928791378

    Phone: (951) 523-0117

    Fax: (951) 394-0685

    Type: Mailing

  • 4022 CHICAGO AVE

    RIVERSIDE, CA 925075340

    Phone: (855) 505-7467

    Fax: (888) 975-8926

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2023-12-20 • Largest payer in this snapshot: Philips Electronics North America Corporation ($30).

Total Amount

$30

General + Research + Ownership

Payments

2

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-06-15

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
I20050615000272IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92553)

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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: 5294785630View full group profile
NameSpecialtyState
Internal MedicineCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Family PracticeAZ
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantCA

Reviews

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Frequently asked questions

Can I verify MS. ROSEANNE GARRISON (PA-C) with an NPI only?
You can start verification with NPI 1154409654 for MS. ROSEANNE GARRISON (PA-C), then check state licensing separately.
Is MS. ROSEANNE GARRISON (PA-C) still practicing?
MS. ROSEANNE GARRISON (PA-C) is currently listed as active in the public NPI registry.
What healthcare role does MS. ROSEANNE GARRISON (PA-C) hold?
Scheduling teams often label MS. ROSEANNE GARRISON (PA-C) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MS. ROSEANNE GARRISON (PA-C)?
MS. ROSEANNE GARRISON (PA-C)'s geographic hint is Moreno Valley, California in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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