Active NPI
Rosalee Perez-Teel, APRN
- Psychiatric/Mental Health Nurse Practitioner
- St Augustine, FL
National Provider Identifier
1215748702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11039726
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9561959 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Grace Wellness LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Palatka, FL
- NPI 1851281927
-
- Community/Behavioral Health Agency
- St Augustine, FL
- NPI 1831279280
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.