Individual provider Active NPI

Noelis Maria Jennings Rosario, DPM

  • Foot & Ankle Surgery Podiatrist
  • North Port, FL
National Provider Identifier
1295121838
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3762 Issued in FL
Practice address
14580 Tamiami TRL Unit H
North Port, FL 34287-2708
Phone
(941) 429-1702
Fax
(941) 429-0981
NPI assigned
Apr 10, 2015
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3762 FL Primary

Addresses

Primary practice location

14580 Tamiami TRL Unit H
North Port, FL 34287-2708

Mailing address

1800 Cortez Rd W
Bradenton, FL 34207-1335
Phone (941) 758-8818

Other practice location 1

7915 US Highway 301 N Ste 104
Ellenton, FL 34222-3532
Phone (941) 776-5199

Other practice location 2

6021 142nd Ave N
Clearwater, FL 33760-2822
Phone (727) 796-6900

Other practice location 3

1800 Cortez Rd W
Bradenton, FL 34207-1335
Phone (941) 758-8818

Other practice location 4

8430 Cooper Creek Blvd Ste 101
University Park, FL 34201-2016
Phone (941) 360-9300

Other identifiers 1

IdentifierTypeStateIssuer
111543100MedicaidFL

Other names 1

  • Dr. Noelis Maria Rosario Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinical@CFAS.directbygreenway.com

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160603001951 FL Practitioner - Podiatry 5698065530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3762FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Solutions of America, Inc. CurrentSince Oct 21, 2025 Accepting new patients
North Port Podiatry Center PA Foot & Ankle Surgery CurrentSince Jul 15, 2026 Accepting new patients
KG Health Partners, Inc CurrentSince Aug 17, 2021 Accepting new patients
North Port Podiatry Center PA Foot & Ankle Surgery PastSince Jul 15, 2026 Accepting new patients

Locations

6021 142nd Ave N
Clearwater, FL 33760
Phone (727) 431-4850

14580 Tamiami Trl
Unit H
North Port, FL 34287
Phone (941) 429-1702

Interoperability endpoints

  • Direct secure messaging: clinical@cfas.directbygreenway.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1295121838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071335",
            "telephone_number": "941-758-8818",
            "fax_number": "941-755-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14580 TAMIAMI TRL UNIT H",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872708",
            "telephone_number": "941-429-1702",
            "fax_number": "941-429-0981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7915 US Highway 301 N Ste 104",
            "address_purpose": "LOCATION",
            "city": "Ellenton",
            "state": "FL",
            "postal_code": "342223532",
            "country_code": "US",
            "telephone_number": "941-776-5199",
            "fax_number": "941-776-3750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6021 142nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337602822",
            "country_code": "US",
            "telephone_number": "727-796-6900",
            "fax_number": "727-669-8417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Cortez Rd W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342071335",
            "country_code": "US",
            "telephone_number": "941-758-8818",
            "fax_number": "941-755-2901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8430 Cooper Creek Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "University Park",
            "state": "FL",
            "postal_code": "342012016",
            "country_code": "US",
            "telephone_number": "941-360-9300",
            "fax_number": "941-360-9304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS ROSARIO",
        "first_name": "NOELIS",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111543100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@CFAS.directbygreenway.com",
            "affiliation": "N",
            "address_1": "1800 Cortez Rd W",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342071335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NOELIS",
            "last_name": "ROSARIO",
            "middle_name": "MARIA",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Port, FL

Sources for this page

Verify at the official NPI Registry.