Individual provider Active NPI

Rebecca Anne Delarosa, NP

  • Family Nurse Practitioner
  • Wake Forest, NC
National Provider Identifier
1295495448
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015547 Issued in NC
Practice address
1655 Wake Dr
Wake Forest, NC 27587-4745
Phone
(919) 556-4779
NPI assigned
Dec 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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 5015547 NC Primary

Addresses

Primary practice location

1655 Wake Dr
Wake Forest, NC 27587-4745

Mailing address

5304 Littrell Cir
Raleigh, NC 27613-5742
Phone (919) 946-5367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220314001743 NC Practitioner - Nurse Practitioner 1759776560 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Pediatric Associates, PLLC CurrentSince Jan 3, 2022 Accepting new patients
Wake Forest Pediatric Associates, PLLC CurrentSince Jan 3, 2022 Accepting new patients

Locations

6845 Knightdale Blvd
Ste 100
Knightdale, NC 27545
Phone (919) 266-5059

1655 Wake Dr
Unit 101
Wake Forest, NC 27587
Phone (919) 556-1541

Interoperability endpoints

  • Direct secure messaging: rebeccadelarosa@wfpapllc.allscriptsdirect.net

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": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1295495448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 LITTRELL CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135742",
            "telephone_number": "919-946-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 WAKE DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874745",
            "telephone_number": "919-556-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAROSA",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.