Individual provider Active NPI

Rosita Rodriguez, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1629430707
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
9193466 Issued in FL
Practice address
1121 N Central Ave
Suite B
Kissimmee, FL 34741-4405
Phone
(407) 933-1221
Fax
(407) 933-5613
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 9193466 FL Primary

Addresses

Primary practice location

1121 N Central Ave
Suite B
Kissimmee, FL 34741-4405

Mailing address

1121 N Central Ave
Suite B
Kissimmee, FL 34741-4405
Phone (407) 933-1221

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
I20160627001275 FL Practitioner - Nurse Practitioner 5496046203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Disease Specialists, PAGroup PAC ID 4789648072, 6 clinicians

Practice addresses (Care Compare)

110 Park Place Blvd
Davenport, FL 33837-6857
Phone (863) 419-0104

Hospital & facility affiliations

  • HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9193466FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Disease Specialists, PA CurrentSince May 1, 2016 Accepting new patients
Florida Infectious Disease Specialists Inc. CurrentSince Aug 14, 2023 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Florida Infectious Disease Consultants P.a Past Accepting new patients

Locations

110 Park Place Blvd
Davenport, FL 33837
Phone (863) 419-0104

1121 N Central Ave
Ste B
Kissimmee, FL 34741
Phone (407) 933-1221

102 Park Place Blvd
Ste 2
Kissimmee, FL 34741
Phone (407) 944-4900

290 Park Place Blvd
Kissimmee, FL 34741
Phone (407) 933-1221

Interoperability endpoints

  • Direct secure messaging: rrodriguez179039@orlandohealth.medalliesdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rosita.rodriguez.p1@direct.pds.nextgenshare.com

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 3

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1629430707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N CENTRAL AVE",
            "address_2": "SUITE B",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414405",
            "telephone_number": "407-933-1221",
            "fax_number": "407-933-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N CENTRAL AVE",
            "address_2": "SUITE B",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414405",
            "telephone_number": "407-933-1221",
            "fax_number": "407-933-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ROSITA",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "9193466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.