Individual provider Active NPI

Aljade R Rosario, ARNP

  • Family Nurse Practitioner
  • Bremerton, WA
National Provider Identifier
1275001612
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60897302 Issued in WA
Practice address
1225 Campbell Way Ste 101
Bremerton, WA 98310-3323
Phone
(360) 479-4203
Fax
(360) 802-5799
NPI assigned
Nov 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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 AP60897302 WA Primary

Addresses

Primary practice location

1225 Campbell Way Ste 101
Bremerton, WA 98310-3323

Mailing address

1225 Campbell Way Ste 101
Bremerton, WA 98310-3323
Phone (360) 479-4203

Other identifiers 1

IdentifierTypeStateIssuer
2132454MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arosario16292@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20190705000871 WA Practitioner - Nurse Practitioner 9133454689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

541 Eureka Way
Sequim, WA 98382-5074
Phone (360) 582-0808

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60897302WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince May 8, 2019 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince May 8, 2019 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

1225 Campbell Way
Ste 101
Bremerton, WA 98310
Phone (360) 479-4203

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

450 S Kitsap Blvd
Ste 210
Port Orchard, WA 98366
Phone (360) 874-5900

541 Eureka Way
Sequim, WA 98382
Phone (360) 582-0808

545 Eureka Way
Sequim, WA 98382
Phone (360) 582-0808

1950 NW Myhre Rd
Fl 3
Silverdale, WA 98383
Phone (564) 240-4200

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1541289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1275001612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CAMPBELL WAY STE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103323",
            "telephone_number": "360-479-4203",
            "fax_number": "360-802-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CAMPBELL WAY STE 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103323",
            "telephone_number": "360-479-4203",
            "fax_number": "360-802-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "ALJADE",
        "middle_name": "R",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-04",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60897302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2132454",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arosario16292@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1225 Campbell Way Ste 101",
            "city": "Bremerton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983103323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.