Individual provider Active NPI

Avonne Danell Rosario, NP

  • Primary Care Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1053957472
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
2020014188 Issued in MO
Practice address
825 Euclid Ave
Kansas City, MO 64124-2323
Phone
(816) 889-1988
Fax
(816) 889-1837
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 2020014188 MO Primary
Primary Care Nurse Practitioner 363LP2300X 53-79254-081 KS

Addresses

Primary practice location

825 Euclid Ave
Kansas City, MO 64124-2323

Mailing address

825 Euclid Ave
Kansas City, MO 64124-2323
Phone (816) 889-1988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20201202000099 MO Practitioner - Nurse Practitioner 2567873243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samuel U Rodgers Health Center IncGroup PAC ID 9739092826, 28 clinicians

Practice addresses (Care Compare)

825 Euclid Ave
Kansas City, MO 64124-2323
Phone (816) 474-4920

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-79254-081KSMDPrimary Care Nurse Practitioner
2020014188MOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel U. Rodgers Health Center, Inc CurrentSince Oct 5, 2020 Accepting new patients
Samuel U. Rodgers Health Center, Inc. CurrentSince Oct 5, 2020 Accepting new patients

Locations

5330 N Oak Trfy
Ste 203
Kansas City, MO 64118
Phone (816) 421-3115

825 Euclid Ave
Kansas City, MO 64124
Phone (816) 889-4816

5330 N Oak Trfy
Ste 104
Kansas City, MO 64118
Phone (816) 455-7471

800 Haines
Liberty, MO 64068
Phone (816) 595-4200

Interoperability endpoints

  • Direct secure messaging: avonne.rosario.p1@direct.rodgershealth.nextgenshare.com

Organizations & group practices 2

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": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1053957472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 EUCLID AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641242323",
            "telephone_number": "816-889-1988",
            "fax_number": "816-889-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 EUCLID AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641242323",
            "telephone_number": "816-889-1988",
            "fax_number": "816-889-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "AVONNE",
        "middle_name": "DANELL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2020014188",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "53-79254-081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.