Individual provider Active NPI

Rosson W Wiebe, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1659707354
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP9293716 Issued in FL
Practice address
1131 SE Indian St
Stuart, FL 34997-5765
Phone
(866) 802-6848
NPI assigned
Sep 25, 2013
Last updated
Dec 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60424960 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP9293716 FL Primary

Addresses

Primary practice location

1131 SE Indian St
Stuart, FL 34997-5765

Mailing address

9126 SE Mars St
Hobe Sound, FL 33455-5471
Phone (805) 886-6971

Other practice location 1

325 E Pioneer
Puyallup, WA 98372-3265
Phone (253) 697-8400

Other practice location 2

15455 65th Ave S
Tukwila, WA 98188-2534
Phone (206) 721-5170

Other practice location 3

11181 SE Federal Hwy
Hobe Sound, FL 33455-5128
Phone (772) 245-8345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP9293716FLMDPsychiatric/Mental Health Nurse Practitioner
AP60424960WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Voyage Recovery Center PastSince Apr 25, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1659707354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9126 SE MARS ST",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555471",
            "telephone_number": "805-886-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 SE INDIAN ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975765",
            "telephone_number": "866-802-6848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 E Pioneer",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983723265",
            "country_code": "US",
            "telephone_number": "253-697-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15455 65th Ave S",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981882534",
            "country_code": "US",
            "telephone_number": "206-721-5170",
            "fax_number": "206-721-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11181 SE Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Hobe Sound",
            "state": "FL",
            "postal_code": "334555128",
            "country_code": "US",
            "telephone_number": "772-245-8345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEBE",
        "first_name": "ROSSON",
        "middle_name": "W",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-25",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60424960",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "AP9293716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.