ROSELYNN RACHEL PLEVACK (AUD) – Audiologist, NPI 1649894478

ROSELYNN RACHEL PLEVACK (AUD) is a healthcare provider. based in Oxnard, California. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. AU3504 (CA). The NPI Number for ROSELYNN RACHEL PLEVACK (AUD) is 1649894478

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ROSELYNN RACHEL PLEVACK (AUD)
NPI
1649894478
Phone
(858) 357-1057
Address
1700 N ROSE AVE STE 460
Enumeration Date
8 June 2020
Last Update Date
10 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8055838698
Graduation Year
2020 (6 years ago)
PAC ID
0840649034
Group Practice PAC ID
4880658905
Professional Enrollment ID
I20231213002268
Address ID
CA930651550SI2876XDRXX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

600 QUALIFIED AUDIOLOGIST in CA

Provider Addresses for ROSELYNN RACHEL PLEVACK (AUD)

  • 1700 N ROSE AVE STE 460

    OXNARD, CA 930307629

    Phone: (858) 357-1057

    Type: Mailing

  • 2876 SYCAMORE DR STE 303

    SIMI VALLEY, CA 930651550

    Phone: (805) 583-8698

    Fax: (805) 527-2426

    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: 2023-12-13

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
I20231213002268IQualified AudiologistCATBD

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 93030)

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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: 4880658905View full group profile
NameSpecialtyState
-CA
Qualified AudiologistCA
Qualified AudiologistCA
Qualified AudiologistCA

Reviews

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Frequently asked questions

How do I look up ROSELYNN RACHEL PLEVACK (AUD) by NPI?
Use NPI 1649894478 when you need to reference ROSELYNN RACHEL PLEVACK (AUD) in forms, claims, or directories.
Is ROSELYNN RACHEL PLEVACK (AUD)'s NPI currently valid?
The extract we use shows ROSELYNN RACHEL PLEVACK (AUD) as active.
What does ROSELYNN RACHEL PLEVACK (AUD) treat or focus on?
Patients typically see ROSELYNN RACHEL PLEVACK (AUD) under the specialty Audiologist. Clinical services aligned with this taxonomy classification.
Does ROSELYNN RACHEL PLEVACK (AUD) practice in California?
You will see Oxnard, California on file for ROSELYNN RACHEL PLEVACK (AUD) alongside any extra practice locations.
What if Oxnard, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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