Individual provider Active NPI

Russell Joshua Rocha, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1235837030
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11024806 Issued in FL
Practice address
4600 Military TRL Ste 219
Jupiter, FL 33458-4813
Phone
(561) 844-0715
Fax
(561) 776-4878
NPI assigned
Feb 21, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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 APRN11024806 FL Primary

Addresses

Primary practice location

4600 Military TRL Ste 219
Jupiter, FL 33458-4813

Mailing address

4600 Military TRL Ste 219
Jupiter, FL 33458-4813
Phone (561) 844-0715

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240702004494 FL Order and Referring Only - Nurse PractitionerPractitioner - Family Practice 4880138791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11024806FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Familyhealthcare,PA CurrentSince Oct 8, 2023 Accepting new patients
New Age Dermatology Inc PastSince Oct 8, 2023 Accepting new patients

Locations

4600 Military Trl
Ste 115
Jupiter, FL 33458
Phone (561) 775-5252

Interoperability endpoints

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

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": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1235837030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MILITARY TRL STE 219",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584813",
            "telephone_number": "561-844-0715",
            "fax_number": "561-776-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MILITARY TRL STE 219",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584813",
            "telephone_number": "561-844-0715",
            "fax_number": "561-776-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "RUSSELL",
        "middle_name": "JOSHUA",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-21",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.