Individual provider Active NPI

Rosemary Brenda Estrella, MSN, FNP

  • Family Nurse Practitioner
  • Freeport, NY
National Provider Identifier
1134554934
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338187 Issued in NY
Practice address
55 N Main St
Freeport, NY 11520-2243
Phone
(718) 399-6234
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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 338187 NY Primary

Addresses

Primary practice location

55 N Main St
Freeport, NY 11520-2243

Mailing address

468 Lafayette Ave
Brooklyn, NY 11205
Phone (718) 399-6234

Other identifiers 1

IdentifierTypeStateIssuer
04034575MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150202001656 NY Practitioner - Nurse Practitioner 6507181120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jacqueline Delmont MD PCGroup PAC ID 6507762473, 9 clinicians

Practice addresses (Care Compare)

1624 Central Ave
Far Rockaway, NY 11691-4002
Phone (718) 868-1100

Merit-based Incentive Payment System (MIPS)

Final score
92.39 of 100Reported as group
Quality
72.52
Promoting interoperability
93
Improvement activities
40
Cost
91.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Jacqueline Delmont MD PC Family CurrentSince Nov 16, 2014 Accepting new patients
Medcare, LLC PastSince Nov 1, 2008 Accepting new patients
Lafayette Medical Office, PC Past Accepting new patients

Locations

1624 Central Ave
#2
Far Rockaway, NY 11691
Phone (718) 868-1100

1624 Central Ave
Far Rockaway, NY 11691
Phone (516) 741-6464

1209 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 352-8300

55 N Main St
Freeport, NY 11520
Phone (516) 352-8300

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGCAED/Endpoint/DGCAED

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1134554934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 LAFAYETTE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11205",
            "telephone_number": "718-399-6234",
            "fax_number": "718-399-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N MAIN ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115202243",
            "telephone_number": "718-399-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRELLA",
        "first_name": "ROSEMARY",
        "middle_name": "BRENDA",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04034575",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

Verify at the official NPI Registry.