Individual provider Active NPI

Janelle Rosenberger, NP-C

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1336779537
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144713 Issued in TX
Practice address
2309 W Green Oaks Blvd
Arlington, TX 76016-1222
Phone
(817) 496-4957
Fax
(817) 496-3783
NPI assigned
Jan 16, 2020
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP144713 TX Primary
Registered Nurse 163W00000X 849330 TX

Addresses

Primary practice location

2309 W Green Oaks Blvd
Arlington, TX 76016-1222

Mailing address

2309 W Green Oaks Blvd
Arlington, TX 76016-1222
Phone (817) 496-4957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200317000292 TX Practitioner - Nurse Practitioner 5193153609 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
Lake Arlington Family Medicine PAGroup PAC ID 6507019015, 5 clinicians

Practice addresses (Care Compare)

2309 W Green Oaks Blvd
Arlington, TX 76016-1222
Phone (817) 261-2862

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
849330TXMDRegistered Nurse
AP144713TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Arlington Family Medicine, P.a. CurrentSince Apr 3, 2020 Accepting new patients

Locations

2309 W Green Oaks Blvd
Arlington, TX 76016
Phone (817) 261-2862

Interoperability endpoints

  • Direct secure messaging: janelle.rosenberger@lafm.eclinicaldirectplus.com

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

Hospital & facility affiliations 1

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": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1336779537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 W GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760161222",
            "telephone_number": "817-496-4957",
            "fax_number": "817-496-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 W GREEN OAKS BLVD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760161222",
            "telephone_number": "817-496-4957",
            "fax_number": "817-496-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERGER",
        "first_name": "JANELLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144713",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "849330",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.