Rosemary Gavan, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP1376272 Issued in FL

Practice address

808 Highway 466
Lady Lake, FL 32159-3918

Phone

(352) 751-0040

Fax

(352) 751-2825

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lake Sumter Urology, LLC

  • Urology Physician
  • Lady Lake, FL
  • NPI 1285385401

  FL, Urology

  Medicare reassignment Care Compare group NPD

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

• Florida Hospital Waterman Inc

  • General Acute Care Hospital
  • Tavares, FL
  • NPI 1821019571

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Sumter Urology, LLC 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1295872083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714118",
            "telephone_number": "352-861-0440",
            "fax_number": "321-843-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 HIGHWAY 466",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593918",
            "telephone_number": "352-751-0040",
            "fax_number": "352-751-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVAN",
        "first_name": "ROSEMARY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "APRN1376272",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1376272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001250200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Gallimore, PA-C
• Traci Gamble
• Carolyn Garbo, ATC, LAT, CSCS
• Yalieski Garcia, MD
• Garry L Dulgar PA
• James Nicholas Georgiades, A.P.
• Leon F Gerard, D.D.S.
• German Family Dentistry LLC
• Igor German, D.M.D
• Julia German

• All providers in Lady Lake, FL
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.