Individual provider Active NPI

Beatriz Rose, AGACNP-BC

  • Gerontology Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1477018364
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11001079 Issued in FL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102356300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, HI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190227002550 FL Practitioner - Nurse Practitioner 7416296900 Reassigns benefits to 2 organizations
I20230808003694 HI Practitioner - Nurse Practitioner 7416296900 Reassigns benefits to 2 organizations

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
Integrated Rehab Consultants Florida PLLCGroup PAC ID 4486997426, 41 clinicians

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

LicenseStateTypeSpecialty
APRN11001079FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Aug 1, 2023 Accepting new patients
The Queens Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Integrated Rehab Consultants Florida, PLLC CurrentSince Jun 8, 2025 Accepting new patients
The Queen's Medical Center Current Accepting new patients
Kirk G Voelker MD PA CurrentSince May 27, 2019 Accepting new patients
Queens University Medical Group CurrentSince Jul 26, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.