Individual provider Active NPI

Rhea Lou Valdez Del Rosario, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Rapids, MN
National Provider Identifier
1336789916
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7164 Issued in MN
Practice address
1255 S Pokegama Ave Unit 11
Grand Rapids, MN 55744-4208
Phone
(218) 999-0018
Fax
(218) 999-9627
NPI assigned
Jan 10, 2020
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7164 MN Primary

Addresses

Primary practice location

1255 S Pokegama Ave Unit 11
Grand Rapids, MN 55744-4208

Mailing address

1255 S Pokegama Ave Unit 11
Grand Rapids, MN 55744-4208
Phone (218) 999-0018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, AZ, ND3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200323001181 MN Practitioner - Nurse Practitioner 5193153385 Reassigns benefits to 3 organizations
I20250509002147 AZ Practitioner - Nurse Practitioner 5193153385 Reassigns benefits to 1 organization
I20260220002373 ND Practitioner - Nurse Practitioner 5193153385 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
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1255 S Pokegama Ave
Unit 11
Grand Rapids, MN 55744-4208
Phone (218) 398-9347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Multi-Specialty CurrentSince Aug 2, 2024 Accepting new patients
Wise Minds by Rhea PLLC Multi-Specialty CurrentSince Nov 13, 2023 Accepting new patients
Portages Health LLC Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1255 S Pokegama Ave
Unit 11
Grand Rapids, MN 55744
Phone (218) 398-9347

310 4th Ave S
Ste 5010
Minneapolis, MN 55415
Phone (320) 492-2232

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

3523 45th St S
Fargo, ND 58104
Phone (701) 747-9701

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1336789916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 S POKEGAMA AVE UNIT 11",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444208",
            "telephone_number": "218-999-0018",
            "fax_number": "218-999-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 S POKEGAMA AVE UNIT 11",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444208",
            "telephone_number": "218-999-0018",
            "fax_number": "218-999-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL ROSARIO",
        "first_name": "RHEA LOU",
        "middle_name": "VALDEZ",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "7164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

Verify at the official NPI Registry.