Active NPI
Katherine Eugenia Rogers, NP
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9272329
- Practice address
- 4615 Philips Hwy Ste 3
Jacksonville, FL 32207-9539 - Phone
- (904) 508-0710
- Fax
- (855) 299-7010
- NPI assigned
- Sep 28, 2015
- Last updated
- Jan 31, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9272329 | FL | Primary |
Addresses
Primary practice location
4615 Philips Hwy Ste 3
Jacksonville, FL 32207-9539
Mailing address
Dept. #394
P.O. Box 1000
Memphis, TN 38148-0001
Phone (941) 366-0134
Other practice location 1
1435 Dunn Ave Ste 101
Daytona Beach, FL 32114-1434
Phone (386) 274-7651
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IR051X | Other | FL | MEDICARE |
| 015884800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4440 Fruitville Rd
Sarasota, FL 34232-1926
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 90.03
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9272329 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Can Community Health Inc. | Current | Accepting new patients | |
| Can Community Health, Inc. | Family | Current | Accepting new patients |
| Can Community Health, Inc. | Past | Accepting new patients |
Locations
1435 Dunn Ave
Ste 101
Daytona Beach, FL 32114
Phone (386) 274-7651
4615 Philips Hwy
Ste 3
Jacksonville, FL 32207
Phone (904) 508-0710
4440 Fruitville Rd
Sarasota, FL 34232
Phone (941) 366-0134
1231 N Tuttle Ave
Sarasota, FL 34237
Phone (941) 366-0134
Interoperability endpoints
- katherine.rogers@can.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CAN Community Health Pharmacy of Jacksonville
- Community/Retail Pharmacy
- Jacksonville, FL
- NPI 1538600424
-
- Infectious Disease Physician
- Fort Walton Beach, FL
- NPI 1437726759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1033589544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT. #394",
"address_2": "P.O. BOX 1000",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381480001",
"telephone_number": "941-366-0134",
"fax_number": "941-404-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4615 PHILIPS HWY STE 3",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322079539",
"telephone_number": "904-508-0710",
"fax_number": "855-299-7010"
}
],
"practiceLocations": [
{
"address_1": "1435 Dunn Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321141434",
"country_code": "US",
"telephone_number": "386-274-7651",
"fax_number": "877-242-5455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "KATHERINE",
"middle_name": "EUGENIA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-28",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9272329",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IR051X",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015884800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.