Individual provider Active NPI

Jessica Lynn Rogalny, APRN

  • Family Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1508558248
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11026508 Issued in FL
Practice address
3375 20TH St Ste 140
Vero Beach, FL 32960-2454
Phone
(772) 299-7299
Fax
(772) 563-9191
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11026508 FL Primary

Addresses

Primary practice location

3375 20TH St Ste 140
Vero Beach, FL 32960-2454

Mailing address

1079 SW Idol Ave
Port St Lucie, FL 34953-6727
Phone (561) 317-3198

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
I20230905003062 FL Practitioner - Nurse Practitioner 9931562147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michael Wein MD PAGroup PAC ID 3173716180, 2 clinicians

Practice addresses (Care Compare)

3375 20TH St
Suite 140
Vero Beach, FL 32960-2454
Phone (772) 299-7299

Hospital & facility affiliations

  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11026508FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Wein MD PA CurrentSince Jun 1, 2023 Accepting new patients

Locations

322 NW Bethany Dr
Port St Lucie, FL 34986

320 NW Bethany Dr
Port St Lucie, FL 34986
Phone (772) 871-6020

3375 20th St
Ste 140
Vero Beach, FL 32960
Phone (772) 299-7299

3375 20th St
Vero Beach, FL 32960
Phone (772) 567-0111

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1508558248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 SW IDOL AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349536727",
            "telephone_number": "561-317-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 20TH ST STE 140",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602454",
            "telephone_number": "772-299-7299",
            "fax_number": "772-563-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGALNY",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11026508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.