Individual provider Active NPI

Roseline Carline Clerge, ARNP

  • Family Nurse Practitioner
  • Deland, FL
National Provider Identifier
1619929908
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9217032 Issued in FL
Practice address
112 E New York Ave
Suite E
Deland, FL 32724-5504
Phone
(386) 734-0121
Fax
(386) 734-0332
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9217032FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Morning Star Assisted Living Facility,Inc Current Accepting new patients
Nursemd at Home, LLC Past Accepting new patients
Precision Pulmonary NP, Inc. PastSince Mar 3, 2013 Accepting new patients
Rural Medical Associates Inc Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9217032 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

112 E New York Ave
Suite E
Deland, FL 32724-5504

Mailing address

PO Box 730
Deland, FL 32721-0730
Phone (386) 734-0121

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619929908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327210730",
            "telephone_number": "386-734-0121",
            "fax_number": "386-734-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E NEW YORK AVE",
            "address_2": "SUITE E",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245504",
            "telephone_number": "386-734-0121",
            "fax_number": "386-734-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLERGE",
        "first_name": "ROSELINE",
        "middle_name": "CARLINE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9217032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.