Individual provider Active NPI

Jessica Rosario, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1679255780
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11027692 Issued in FL
Practice address
8981 Colonial Center Dr
Fort Myers, FL 33905-7816
Phone
(239) 938-0800
Fax
(866) 420-0122
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11027692 FL Primary

Addresses

Primary practice location

8981 Colonial Center Dr
Fort Myers, FL 33905-7816

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 432-8500

Other practice location 1

1708 Cape Coral Pkwy W Ste 10
Cape Coral, FL 33914-6985
Phone (239) 541-4633

Other practice location 2

1030 Commerce Creek Blvd
Cape Coral, FL 33909-6529
Phone (239) 997-3081

Other identifiers 1

IdentifierTypeStateIssuer
124163000MedicaidFL

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
I20240930004148 FL Practitioner - Nurse Practitioner 0042547598 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Sep 20, 2024 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients

Locations

1708 Cape Coral Pkwy W
Ste 10
Cape Coral, FL 33914
Phone (239) 541-4633

1030 Commerce Creek Blvd
Cape Coral, FL 33909
Phone (239) 997-3081

1030 Commerce Creek Blvd
Fl Cancer
Cape Coral, FL 33909
Phone (239) 772-3544

8981 Colonial Center Dr
Fort Myers, FL 33905
Phone (239) 938-0800

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1679255780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-432-8500",
            "fax_number": "813-499-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8981 COLONIAL CENTER DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057816",
            "telephone_number": "239-938-0800",
            "fax_number": "866-420-0122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Cape Coral Pkwy W Ste 10",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339146985",
            "country_code": "US",
            "telephone_number": "239-541-4633",
            "fax_number": "866-504-2990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 Commerce Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339096529",
            "country_code": "US",
            "telephone_number": "239-997-3081",
            "fax_number": "844-862-7077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11027692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124163000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.