MATHILDA KALINA (FNP-C) – Family Nurse Practitioner, NPI 1194554097

MATHILDA KALINA (FNP-C) is a healthcare provider. based in Santa rosa, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 95030314 (CA). The NPI Number for MATHILDA KALINA (FNP-C) is 1194554097

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MATHILDA KALINA (FNP-C)
NPI
1194554097
Phone
Not provided
Address
3569 ROUND BARN CIR
Enumeration Date
29 July 2024
Last Update Date
6 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5037177000
Graduation Year
2023 (3 years ago)
PAC ID
3072030279
Group Practice PAC ID
1557260106
Professional Enrollment ID
I20251022002158
Address ID
OR971469314WA171XX101X400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MATHILDA KALINA (FNP-C)

  • 3569 ROUND BARN CIR

    SANTA ROSA, CA 954035781

    Phone:

    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: 2025-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250512000834INurse PractitionerCATBD
I20251022002158INurse PractitionerORTBD

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 95403)

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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: 1557260106View full group profile
NameSpecialtyState
-OR
Emergency Medicine, Internal MedicineOR
-OR
Physician AssistantOR
-OR
Nurse PractitionerOR
Cardiovascular Disease (Cardiology)OR
Cardiac Electrophysiology, Internal MedicineOR
Nurse PractitionerOR
-OR

Reviews

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Frequently asked questions

How is MATHILDA KALINA (FNP-C) identified in CMS data?
CMS-hosted NPPES data lists MATHILDA KALINA (FNP-C) with NPI 1194554097.
Is MATHILDA KALINA (FNP-C) still practicing?
MATHILDA KALINA (FNP-C) is currently listed as active in the public NPI registry.
What is MATHILDA KALINA (FNP-C)'s specialty?
The listing groups MATHILDA KALINA (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MATHILDA KALINA (FNP-C) serve?
MATHILDA KALINA (FNP-C)'s listing highlights Santa Rosa, California; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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