Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Janise Roebuck, NP

Individual provider Family Nurse Practitioner · NPI 1023651080

Janise Roebuck, NP is a Nurse Practitioner in Modesto, California. Qualified in 2019, 7 years ago. Practices with Family Health Centers of San Diego Inc, a 297-clinician group and accepts Medicare assignment. Licensed in California, Georgia, New York and Texas.

Years since qualifying
7
Licensed in
CA, GA, NY, TX
In the registry since
2019
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2101 Tenaya Dr
Modesto, CA 95354-3930
Phone: (209) 722-4842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95023096 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F351574-01 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN248182 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1176917 (TX)

Record details

NPI number1023651080
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 23, 2019
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Family Health Centers Of San Diego Inc — 297 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Modesto