Active NPI
Roseline Carline Clerge, ARNP
- Family Nurse Practitioner
- Deland, FL
National Provider Identifier
1619929908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9217032
- 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.
-
- Assisted Living Facility
- Chuluota, FL
- NPI 1588371942
-
- Primary Care Nurse Practitioner
- Deland, FL
- NPI 1528017183
-
- Nurse Practitioner
- Dunedin, FL
- NPI 1811202054
-
- Rural Health Clinic/Center
- Wildwood, FL
- NPI 1770570806
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
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.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9217032 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Morning Star Assisted Living Facility,Inc | Current | Accepting new patients | |
| Nursemd at Home, LLC | Past | Accepting new patients | |
| Precision Pulmonary NP, Inc. | Past | Accepting new patients | |
| Rural Medical Associates Inc | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9217032 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.