AUTUMN SOLIS (FNP-BC) – Emergency Medicine Physician, NPI 1205449832
Emergency Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for AUTUMN SOLIS (FNP-BC)
27422 RONDELL ST
AGOURA HILLS, CA 913012455
Phone: (818) 599-1177
Type: Mailing
24843 PASEO DEL RANCHO
CALABASAS, CA 913023084
Phone: (818) 599-1177
Type: Mailing
215 W JANSS RD
THOUSAND OAKS, CA 913601847
Phone: (805) 370-4435
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $400.
Total Amount is formed as General ($400) + Research ($0) + Ownership ($0) = $400.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Penumbra, Inc. ($140).
Total Amount
$400
General + Research + Ownership
Payments
5
Total payment records
General Amount
$400
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $140 |
| Boston Scientific Corporation | $118 |
| UCB, Inc. | $113 |
| Microtransponder, Inc. | $29 |
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: 2020-09-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200918001566 | I | Nurse Practitioner | CA | TBD |
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.
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 91301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | TX | |
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | FL | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | FL | |
| Nurse Practitioner | CA | |
| Emergency Medicine | CT | |
| Nurse Practitioner | ID |
Reviews
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