Individual provider Active NPI

Kristen Lanae Rosenau, CNP

  • Family Nurse Practitioner
  • Moore, OK
National Provider Identifier
1003239518
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
90610 Issued in OK
Practice address
2900 S Telephone Rd Ste 250
Moore, OK 73160-2936
Phone
(405) 237-7512
NPI assigned
Feb 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 90610 OK Primary

Addresses

Primary practice location

2900 S Telephone Rd Ste 250
Moore, OK 73160-2936

Mailing address

3809 NW 67TH St
Oklahoma City, OK 73116-1812
Phone (405) 204-5597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140416001957 OK Practitioner - Nurse Practitioner 3476785890 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Oklahoma Ambulatory Services LLCGroup PAC ID 9830447036, 43 clinicians
Healthcare One Associates PLLCGroup PAC ID 4688848369, 23 clinicians

Practice addresses (Care Compare)

12220 N Macarthur Blvd D
Mercy Gohealth Urgent Care NW Okc
Oklahoma City, OK 73162-1851
Phone (405) 437-1100

315 W Kansas
Okarche, OK 73762-9227
Phone (405) 263-7263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
90610OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare One Associates PLLC CurrentSince Jul 20, 2015 Accepting new patients
Oklahoma Emergency Services PC CurrentSince Feb 1, 2014 Accepting new patients
Emergency Physicians of Mid-America, P.C. CurrentSince Dec 1, 2014 Accepting new patients
Mercy Oklahoma Ambulatory Services LLC CurrentSince Apr 20, 2019 Accepting new patients

Locations

1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637

1900 S Country Club Rd
El Reno, OK 73036
Phone (405) 295-2900

12220 N MacArthur Blvd
Ste D
Oklahoma City, OK 73162
Phone (405) 437-1100

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCCHBD/Endpoint/HCCHBD
  • Direct secure messaging: kristen.rosenau@hc1.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1003239518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 NW 67TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161812",
            "telephone_number": "405-204-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S TELEPHONE RD STE 250",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602936",
            "telephone_number": "405-237-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENAU",
        "first_name": "KRISTEN",
        "middle_name": "LANAE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "90610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.