Individual provider Active NPI

Trina E Nesselrotte, MSN, APRN, AGNP-C

  • Primary Care Nurse Practitioner
  • The Villages, FL
National Provider Identifier
1285932806
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11018473 Issued in FL
Practice address
551 Fieldcrest Dr
The Villages, FL 32162-4600
Phone
(352) 303-1103
NPI assigned
Mar 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9406150 FL
Specialist 174400000X FB9727235 FL
Primary Care Nurse Practitioner 363LP2300X 11018473 FL Primary

Addresses

Primary practice location

551 Fieldcrest Dr
The Villages, FL 32162-4600

Mailing address

3915 SE 25TH St
Bushnell, FL 33513-8769
Phone (352) 303-1103

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
I20240411003604 FL Order and Referring Only - Nurse Practitioner 3476992314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN9406150FLMDRegistered Nurse
FB9727235FLMDSpecialist
11018473FLMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1299369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1285932806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 SE 25TH ST",
            "city": "BUSHNELL",
            "state": "FL",
            "postal_code": "335138769",
            "telephone_number": "352-303-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 FIELDCREST DR",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321624600",
            "telephone_number": "352-303-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESSELROTTE",
        "first_name": "TRINA",
        "middle_name": "E",
        "name_prefix": "Prof.",
        "credential": "MSN, APRN, AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-06",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9406150",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "FB9727235",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11018473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.