Individual provider Active NPI

Rosana A Warren

  • Family Nurse Practitioner
  • Pagosa Springs, CO
National Provider Identifier
1144115668
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
84443 Issued in NM
Practice address
8622 County Road 500
Pagosa Springs, CO 81147-9601
Phone
(970) 585-4619
NPI assigned
Jun 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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 84443 NM Primary

Addresses

Primary practice location

8622 County Road 500
Pagosa Springs, CO 81147-9601

Mailing address

8622 County Road 500
Pagosa Springs, CO 81147-9601
Phone (970) 585-4619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NM, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20251029001092 CO Practitioner - Nurse Practitioner 7719476860 Reassigns benefits to 1 organization
I20251029001152 NM Practitioner - Nurse Practitioner 7719476860 Reassigns benefits to 1 organization
I20260415001543 TX Practitioner - Nurse Practitioner 7719476860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 Soldier Creek Dr
Rosebud, SD 57570-8502

8622 County Rd
Suite 500
Pagosa Springs, CO 81147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84443NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Peak Wellness Center LLC Family CurrentSince Sep 15, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mountainpeakwellnesscenter.rosanawarren@162256.advancedmd-direct.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": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1144115668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8622 COUNTY ROAD 500",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811479601",
            "telephone_number": "970-585-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8622 COUNTY ROAD 500",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811479601",
            "telephone_number": "970-585-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ROSANA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "84443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pagosa Springs, CO

Sources for this page

Verify at the official NPI Registry.