Individual provider Active NPI

Rachel Lynn Rouse, ARNP

  • Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1477048841
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9222561 Issued in FL
Practice address
9077 S Federal Hwy
Port St Lucie, FL 34952-3405
Phone
(772) 335-4770
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9222561 FL Primary

Addresses

Primary practice location

9077 S Federal Hwy
Port St Lucie, FL 34952-3405

Mailing address

9077 S Federal Hwy
Port Saint Lucie, FL 34952-3405
Phone (772) 398-7336

Other practice location 1

1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521
Phone (773) 335-4000 ext. 3200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181120000561 FL Practitioner - Nurse Practitioner 4284988759 Reassigns benefits to 1 organization

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
Mark J Powers MD PA Florida Orthopaedic SpecialistsGroup PAC ID 5496748782, 14 clinicians

Practice addresses (Care Compare)

9077 S Federal Hwy
Port St Lucie, FL 34952-3405
Phone (772) 398-7336

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9222561FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mark J Powers MD PA Florida Orthopaedic Specialists CurrentSince Nov 1, 2018 Accepting new patients
Mark J Powers MD PA Florida Orthopaedic Specialists CurrentSince Nov 1, 2018 Accepting new patients

Locations

9077 S US Highway 1
Port St Lucie, FL 34952
Phone (407) 335-4770

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

1151 SE Indian St
Stuart, FL 34997
Phone (772) 335-4770

Interoperability endpoints

  • Direct secure messaging: rrouse@fos.gwaydirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1477048841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9077 S FEDERAL HWY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349523405",
            "telephone_number": "772-398-7336",
            "fax_number": "772-335-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9077 S FEDERAL HWY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523405",
            "telephone_number": "772-335-4770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 SE Tiffany Ave",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349527521",
            "country_code": "US",
            "telephone_number": "773-335-4000 x3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9222561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.