Individual provider Active NPI

Rosalee Perez-Teel, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • St Augustine, FL
National Provider Identifier
1215748702
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11039726 Issued in FL
Practice address
3574 US 1 S
St Augustine, FL 32086-6466
Phone
(904) 417-7100
Fax
(904) 824-0724
NPI assigned
Jan 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9561959 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11039726 FL Primary

Addresses

Primary practice location

3574 US 1 S
St Augustine, FL 32086-6466

Mailing address

PO Box 758
Hollister, FL 32147-0758
Phone (386) 546-3190

Other practice location 1

108 Blackjack Oak Ln
Palatka, FL 32177-8715
Phone (386) 546-3190

Other practice location 2

2323 N State St Unit 57
Bunnell, FL 32110-3401
Phone (904) 829-2273

Other practice location 3

3910 Lewis Speedway
St Augustine, FL 32084-8648
Phone (904) 829-2273

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
I20250731004344 FL Practitioner - Nurse Practitioner 3375051428 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9561959FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Grace Wellness LLC CurrentSince Jul 8, 2025 Accepting new patients
Epic Community Services, Inc Past Accepting new patients

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": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1215748702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758",
            "city": "HOLLISTER",
            "state": "FL",
            "postal_code": "321470758",
            "telephone_number": "386-546-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3574 US 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866466",
            "telephone_number": "904-417-7100",
            "fax_number": "904-824-0724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Blackjack Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Palatka",
            "state": "FL",
            "postal_code": "321778715",
            "country_code": "US",
            "telephone_number": "386-546-3190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2323 N State St Unit 57",
            "address_purpose": "LOCATION",
            "city": "Bunnell",
            "state": "FL",
            "postal_code": "321103401",
            "country_code": "US",
            "telephone_number": "904-829-2273",
            "fax_number": "904-824-0724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3910 Lewis Speedway",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320848648",
            "country_code": "US",
            "telephone_number": "904-829-2273",
            "fax_number": "904-824-0724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ-TEEL",
        "first_name": "ROSALEE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9561959",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11039726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.