Staci Nicole Rosen, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

11036027 Issued in FL

Practice address

1840 Mease Dr Ste 202
Safety Harbor, FL 34695-6604

Phone

(727) 725-6246

NPI assigned

Oct 18, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Clearwater Cardiovascular and Interventional Consultants MD PA

  • Cardiovascular Disease Physician
  • Clearwater, FL
  • NPI 1659396133

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1053132449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 BROOKSIDE CT",
            "city": "TARPON SPGS",
            "state": "FL",
            "postal_code": "346889224",
            "telephone_number": "860-336-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR STE 202",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956604",
            "telephone_number": "727-725-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "STACI",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11036027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rojas
• Brittney Elizabeth Romanoff, COTA/L
• Ronald C. Fernandez MD PA
• James J Rooney, ARNP
• Michael Alexander Root, CAA
• Margaret B Ross, PTA
• Robert T Roth, M.D.
• Adele Ruth Rubenstein, PT, CLT
• Gladis Rubio, CLC
• Renee Kathleen Rudnick, CRNA

• Acute Care Nurse Practitioner in Safety Harbor, FL
• Providers in Safety Harbor, FL by specialty
• Acute Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.