Individual provider

Coral Roseberry, DNP, FNP, AGNP

Registered Nurse Gerontology Nurse Practitioner Family Nurse Practitioner Medicare enrolled

Coral Roseberry, DNP, FNP, AGNP is a Family Nurse Practitioner in La Mesa, CA, registered under NPI 1255012860. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 8851 CENTER DR STE 408, La Mesa, CA 91942. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

8851 CENTER DR STE 408, La Mesa, CA 91942 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
RN95169759 CA Registered Nurse
95026375 CA Gerontology Nurse Practitioner
95026375 CA Family Nurse Practitioner primary

This provider holds licence RN95169759 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
5799149217
Enrollment ID
I20230915001646

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
163W00000X Registered Nurse RN95169759 CA
363LG0600X Gerontology Nurse Practitioner Gerontology 95026375 CA
363LF0000X Family Nurse Practitioner Family 95026375 CA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1255012860 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 26, 2023
Last updatedAug 23, 2023
StatusActive
Sole proprietorNo
GenderFemale
CredentialDNP, FNP, AGNP
Practice address 8851 CENTER DR STE 408
La Mesa, CA 91942
(619) 583-1174
Mailing address 9395 HARRITT RD SPC 111
Lakeside, CA 92040
The last update on file is Aug 23, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1255012860 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 5 5 0 1 2 8 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 1 5 0 1 4 8 3

Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1255012860?
NPI 1255012860 is the National Provider Identifier assigned to Coral Roseberry, DNP, FNP, AGNP in La Mesa, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Coral Roseberry, DNP, FNP, AGNP?
The phone number on file with NPPES is (619) 583-1174, last updated Aug 23, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Coral Roseberry, DNP, FNP, AGNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1255012860 a valid number?
Yes. 1255012860 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.