Individual provider Active NPI

Makenzie Rosa, AGACNP-BC

  • Gerontology Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1699531681
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.0034315 Issued in OH
Practice address
7495 State Rd Ste 200
Cincinnati, OH 45255-6400
Phone
(513) 732-8377
Fax
(513) 732-2618
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2023063242 OH
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.0034315 OH Primary

Addresses

Primary practice location

7495 State Rd Ste 200
Cincinnati, OH 45255-6400

Mailing address

7495 State Rd Ste 200
Cincinnati, OH 45255-6400
Phone (513) 732-8377

Other practice location 1

7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500

Other names 1

  • Miss Makenzie Allread Former name

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
I20240516001897 OH Practitioner - Nurse Practitioner 2466893862 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023063242OHMDAcute Care Nurse Practitioner
APRN.CNP.0034315OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince May 26, 2024 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince May 26, 2024 Accepting new patients

Locations

7495 State Rd
Ste 200
Cincinnati, OH 45255
Phone (513) 624-6500

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

Interoperability endpoints

  • Direct secure messaging: mrosa2610336@direct.bsmhealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1699531681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7495 STATE RD STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452556400",
            "telephone_number": "513-732-8377",
            "fax_number": "513-732-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7495 STATE RD STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452556400",
            "telephone_number": "513-732-8377",
            "fax_number": "513-732-2618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 State Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452552439",
            "country_code": "US",
            "telephone_number": "513-624-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSA",
        "first_name": "MAKENZIE",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "2023063242",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.0034315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAKENZIE",
            "last_name": "ALLREAD",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.