ROBERTA R ALLEN (PA) – Family Nurse Practitioner, NPI 1508877382

ROBERTA R ALLEN (PA) is a healthcare provider. based in Davis, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA18229 (CA). The NPI Number for ROBERTA R ALLEN (PA) is 1508877382

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ROBERTA R ALLEN (PA)
NPI
1508877382
Phone
(530) 750-5900
Address
2020 SUTTER PL
Enumeration Date
10 August 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
3072536911
Group Practice PAC ID
9830094515
Professional Enrollment ID
I20060106000333
Address ID
CA958165616SA2800XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:19State licenses:2Digital endpointsOther names

10,686 PHYSICIAN ASSISTANT in CA

Provider Addresses for ROBERTA R ALLEN (PA)

  • 2020 SUTTER PL

    SUITE 101

    DAVIS, CA 956166201

    Phone: (530) 750-5900

    Fax: (530) 750-5804

    Type: Location

  • Jack in the Box, 5800, Freeport Boulevard, Sacramento, Sacramento County, California, 95822, United States

    SACRAMENTO, CA 958655228

    Phone: (800) 470-0071

    Type: Mailing

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: 2006-01-06

PECOS data refreshed: 2026-06-15

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
I20060106000333IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes133125$0
99214Established patient office or other outpatient visit, 30-39 minutes5451$0
81003Automated urinalysis test4947$0
99203New patient office or other outpatient visit, 30-44 minutes3535$0
99212Established patient office or other outpatient visit, 10-19 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 95616)

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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: 9830094515View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for ROBERTA R ALLEN (PA)?
ROBERTA R ALLEN (PA) — NPI 1508877382 — is the standard way to identify this listing.
Is ROBERTA R ALLEN (PA) listed as active for patients and plans?
The listing shows ROBERTA R ALLEN (PA) as active in the NPI system.
What is ROBERTA R ALLEN (PA)'s primary classification?
Family Nurse Practitioner is the headline specialty for ROBERTA R ALLEN (PA) here. Clinical services aligned with this taxonomy classification.
Does ROBERTA R ALLEN (PA) list a practice location?
Patients near Davis, California may find ROBERTA R ALLEN (PA) in results; validate coverage separately.
Why does ROBERTA R ALLEN (PA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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