Individual provider Active NPI

Rose Annmarie Rutherford, ARNP

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1124548532
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9185254 Issued in FL
Practice address
13534 NW 9TH CT
Pembroke Pines, FL 33028-3166
Phone
(954) 439-5793
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9185254 FL
Family Nurse Practitioner 363LF0000X APRN9185254 FL Primary

Addresses

Primary practice location

13534 NW 9TH CT
Pembroke Pines, FL 33028-3166

Mailing address

13534 NW 9TH CT
Pembroke Pines, FL 33028-3166

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190220001908 FL Practitioner - Nurse Practitioner 0648518472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Emergency Services of Miami Beach PAGroup PAC ID 3476553215, 47 clinicians

Practice addresses (Care Compare)

2845 Aventura Blvd
Aventura, FL 33180-3118
Phone (305) 692-1000

Merit-based Incentive Payment System (MIPS)

Final score
93.42 of 100Reported as group
Quality
81.82
Promoting interoperability
79
Improvement activities
40
Cost
80.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9185254FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Emergency Services of Miami Beach PA Nurse Practitioner Current Accepting new patients
Sterling Emergency Services of Miami Beach PA Nurse Practitioner CurrentSince Sep 14, 2022 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Oct 17, 2022 Accepting new patients
Collins Physician Services, LLC Nurse Practitioner CurrentSince Sep 1, 2018 Accepting new patients

Locations

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

2845 NE 199th St
Miami, FL 33180
Phone (305) 692-1000

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1124548532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13534 NW 9TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13534 NW 9TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283166",
            "telephone_number": "954-439-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "ROSE",
        "middle_name": "ANNMARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9185254",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9185254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.