Active NPI
Beatriz Rose, AGACNP-BC
- Gerontology Nurse Practitioner
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN11001079
- Practice address
- 18480 Cochran Blvd
Port Charlotte, FL 33948-3379 - Phone
- (872) 231-3162
- Fax
- (702) 977-1496
- NPI assigned
- Feb 5, 2019
- Last updated
- Oct 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN11001079 | FL | Primary |
Addresses
Primary practice location
18480 Cochran Blvd
Port Charlotte, FL 33948-3379
Mailing address
PO Box 7410884
Chicago, IL 60674-0884
Phone (702) 899-0595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102356300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18480 Cochran Blvd
Port Charlotte, FL 33948-3379
Phone (941) 743-4700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11001079 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Queens Medical Center | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| Integrated Rehab Consultants Florida, PLLC | Current | Accepting new patients | |
| The Queen's Medical Center | Current | Accepting new patients | |
| Kirk G Voelker MD PA | Current | Accepting new patients | |
| Queens University Medical Group | Current | Accepting new patients |
Locations
6940 Outreach Way
North Port, FL 34287
Phone (941) 426-8411
18480 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 212-2748
2370 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 624-5966
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
1026 Albee Farm Rd
Venice, FL 34285
Phone (941) 484-0425
1240 Pinebrook Rd
Venice, FL 34285
Phone (941) 488-6733
910 Tamiami Trl S
Venice, FL 34285
Phone (941) 484-9753
1310 37th St
Vero Beach, FL 32960
Phone (772) 569-5107
300 NW 1st Ave
Williston, FL 32696
Phone (352) 528-3561
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
550 S Beretania St
Ste 702
Honolulu, HI 96813
Phone (808) 691-8808
Interoperability endpoints
- beatrizrose@las.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Altamonte SPG, FL
- NPI 1245700244
-
- Pulmonary Disease Physician
- Sarasota, FL
- NPI 1851356091
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1891441382
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
dba Queen's Island Urgent Care
- Urgent Care Clinic/Center
- Honolulu, HI
- NPI 1033753025
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1477018364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7410884",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740884",
"telephone_number": "702-899-0595",
"fax_number": "702-977-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18480 COCHRAN BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339483379",
"telephone_number": "872-231-3162",
"fax_number": "702-977-1496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "BEATRIZ",
"credential": "AGACNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-05",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11001079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102356300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.