Individual provider Active NPI

Nicole Elizabeth Rosevear

  • Primary Care Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1477185973
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11003752 Issued in FL
Practice address
6503 N Military TRL Apt 3900
Boca Raton, FL 33496-2617
Phone
(424) 254-6480
NPI assigned
Feb 12, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11003752 FL Primary

Addresses

Primary practice location

6503 N Military TRL Apt 3900
Boca Raton, FL 33496-2617

Mailing address

6503 N Military TRL Apt 3900
Boca Raton, FL 33496-2617
Phone (424) 254-6480

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
I20211206001062 FL Practitioner - Nurse Practitioner 3577953512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida Atlantic University, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 766-1300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11003752FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Accountable Care Hospitalist Group CurrentSince Sep 1, 2021 Accepting new patients

Locations

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300501

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

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": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1477185973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6503 N MILITARY TRL APT 3900",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962617",
            "telephone_number": "424-254-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6503 N MILITARY TRL APT 3900",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962617",
            "telephone_number": "424-254-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEVEAR",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11003752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.