Individual provider Active NPI

Alexandra Krystal Rojas, CNP

  • Family Nurse Practitioner
  • Fremont, OH
National Provider Identifier
1699483271
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP.0032647 Issued in OH
Practice address
1550 Smith Rd
Fremont, OH 43420-9566
Phone
(567) 201-8410
NPI assigned
Nov 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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 CNP.0032647 OH Primary

Addresses

Primary practice location

1550 Smith Rd
Fremont, OH 43420-9566

Mailing address

602 W State St
Fremont, OH 43420-2534
Phone (567) 201-8410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230221000398 OH Practitioner - Nurse Practitioner 3375915317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Professional Services LTDGroup PAC ID 1456531870, 40 clinicians

Practice addresses (Care Compare)

715 S Taft Ave
Fremont, OH 43420-3237
Phone (419) 333-6462

Hospital & facility affiliations

  • Elara Caring Home health agency, Toledo, OH, CCN 367730
  • Memorial Hospital Hospital, Fremont, OH, CCN 360156
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Magruder Hospital Hospital, Port Clinton, OH, CCN 361314
  • Bay Park Community Hospital Hospital, Oregon, OH, CCN 360259

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP.0032647OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Professional Services LTD CurrentSince Feb 1, 2023 Accepting new patients
Promedica Central Physicians Past Accepting new patients

Locations

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

2575 Hayes Ave
Fremont, OH 43420
Phone (419) 355-8692

605 3rd Ave
Ste D
Fremont, OH 43420
Phone (419) 355-8070

605 3rd Ave
Ste B
Fremont, OH 43420
Phone (419) 334-3879

1854 E Perry St
Port Clinton, OH 43452
Phone (419) 690-8880

1854 E Perry St
Ste 4
Port Clinton, OH 43452

Interoperability endpoints

  • Direct secure messaging: arojas95731@direct.promedica.org

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.

Hospital & facility affiliations 6

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": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1699483271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W STATE ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202534",
            "telephone_number": "567-201-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 SMITH RD",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434209566",
            "telephone_number": "567-201-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJAS",
        "first_name": "ALEXANDRA",
        "middle_name": "KRYSTAL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP.0032647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

Verify at the official NPI Registry.