Active NPI
Leah M Rose, APRN
- Nurse Practitioner
- Saint Johns, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11006156
- Practice address
- 1310 County Road 210 W
Saint Johns, FL 32259 - Phone
- (904) 824-4407
- Fax
- (904) 390-7459
- NPI assigned
- Apr 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11006156 | FL | |
| Nurse Practitioner | 363L00000X | APRN11006156 | FL | Primary |
Addresses
Primary practice location
1310 County Road 210 W
Saint Johns, FL 32259
Mailing address
PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-1032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110108400 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
120 Gateway Cir
Unit 1
Jacksonville, FL 32259-4083
Phone (904) 824-4407
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
- Brooks Rehabilitation Hospital University Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.44 of 100
- Quality
- 84.21
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Baptist Primary Care Inc | Current | Accepting new patients | |
| Baptist Primary Care Inc. | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| N E Florida Internal Medicine PA | Current | Accepting new patients | |
| Baptist Primary Care Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
2065 Herschel St
Jacksonville, FL 32204
Phone (904) 387-3933
13155 Atlantic Blvd
Jacksonville, FL 32225
Phone (904) 221-2222
836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656
14540 Old St Augustine Rd
Ste 2317
Jacksonville, FL 32258
Phone (904) 202-2342
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
120 Gateway Cir
Unit 1
Saint Johns, FL 32259
Phone (904) 824-4407
1310 County Road 210 W
St Johns, FL 32259
Phone (904) 824-4407
Interoperability endpoints
- lrose20948@baptisthealthsystemjacksonville.direct-ci.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1508817529
Nurse Practitioner
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1487724993
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1013160704
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1790086593
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1336769934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746638",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746638",
"telephone_number": "904-202-1032",
"fax_number": "904-376-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 COUNTY ROAD 210 W",
"city": "SAINT JOHNS",
"state": "FL",
"postal_code": "32259",
"telephone_number": "904-824-4407",
"fax_number": "904-390-7459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "LEAH",
"middle_name": "M",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2023-08-15",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11006156",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11006156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110108400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Johns, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.