Individual provider Active NPI

Rosemany Rene

  • Family Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1316546252
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11005364 Issued in FL
Practice address
1201 SE Indian St
Stuart, FL 34997-5688
Phone
(772) 403-4500
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11005364 FL
Family Nurse Practitioner 363LF0000X 11005364 FL Primary

Addresses

Primary practice location

1201 SE Indian St
Stuart, FL 34997-5688

Mailing address

855 SE Starflower Ave
Port Saint Lucie, FL 34983-4638
Phone (772) 646-2942

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
I20221115002298 FL Practitioner - Nurse Practitioner 8628446192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Treasure Coast Palliative Care, LLCGroup PAC ID 0648453589, 4 clinicians

Practice addresses (Care Compare)

1201 SE Indian St
Stuart, FL 34997-5688

5000 Dunn Rd
Fort Pierce, FL 34981-4901
Phone (772) 807-6425

5000 NW Dunn Rd
Fort Pierce, FL 34981-4901

Hospital & facility affiliations

  • Treasure Coast Hospice of Martin Hospice, Stuart, FL, CCN 101510
  • HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11005364FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Palliative Care, LLC CurrentSince Aug 31, 2022 Accepting new patients

Locations

5000 NW Dunn Rd
Fort Pierce, FL 34981
Phone (772) 403-4500

1201 SE Indian St
Stuart, FL 34997
Phone (772) 403-4500

Organizations & group practices 1

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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1316546252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 SE STARFLOWER AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349834638",
            "telephone_number": "772-646-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SE INDIAN ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975688",
            "telephone_number": "772-403-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENE",
        "first_name": "ROSEMANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11005364",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.