Individual provider Active NPI

Krista F Roscoe, ARNP

  • Family Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1629039771
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30007647 Issued in WA
Practice address
7410 Delaware LN Uppr Level
Vancouver, WA 98664-1408
Phone
(360) 566-4402
Fax
(360) 566-4406
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AK0563 AK
Nurse Practitioner 363L00000X AP30007647 WA
Family Nurse Practitioner 363LF0000X AP30007647 WA Primary

Addresses

Primary practice location

7410 Delaware LN Uppr Level
Vancouver, WA 98664-1408

Mailing address

PO Box 34703
Seattle, WA 98124-1703
Phone (253) 681-6626

Other practice location 1

4100 Lake Otis Pkwy
US Healthworks Medical Group of AK LLC #322
Anchorage, AK 99508-5222
Phone (907) 562-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080606000151 WA Practitioner - Nurse Practitioner 9931166741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians

Practice addresses (Care Compare)

118 S Pkwy Ave
Battle Ground, WA 98604-9215
Phone (360) 342-8060

19005 SE 34TH St
BLDG 3
Vancouver, WA 98683-1450
Phone (360) 726-6720

7410 Delaware LN
Vancouver, WA 98664-1408
Phone (360) 566-4402

Hospital & facility affiliations

  • Peacehealth Southwest Medical Cente Hospital, Vancouver, WA, CCN 500050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AK0563AKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Nurse Practitioner CurrentSince Dec 8, 2015 Accepting new patients
Sea Mar Community Health Centers CurrentSince Dec 8, 2015 Accepting new patients
Sea Mar Community Health Centers Nurse Practitioner Current Accepting new patients
Sea-Mar Community Health Center PastSince May 12, 2024 Accepting new patients

Locations

7410 Delaware Ln
Vancouver, WA 98664
Phone (360) 566-4402

7410 Delaware Ln
Uppr
Vancouver, WA 98664
Phone (360) 566-4402

Interoperability endpoints

  • Direct secure messaging: kroscoe450792@direct.multicare.org

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.

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1629039771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "253-681-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 DELAWARE LN UPPR LEVEL",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641408",
            "telephone_number": "360-566-4402",
            "fax_number": "360-566-4406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Lake Otis Pkwy",
            "address_2": "US Healthworks Medical Group of AK LLC #322",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085222",
            "country_code": "US",
            "telephone_number": "907-562-1234",
            "fax_number": "907-561-8550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSCOE",
        "first_name": "KRISTA",
        "middle_name": "F",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "AK0563",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30007647",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.