Individual provider Active NPI

Monique An-Jel Rosser, FNP

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1730786047
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN216201 Issued in GA
Practice address
687 Johnson Ferry Rd # 7044
Marietta, GA 30068-4628
Phone
(770) 977-9220
NPI assigned
Oct 8, 2020
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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 RN216201 GA Primary

Addresses

Primary practice location

687 Johnson Ferry Rd # 7044
Marietta, GA 30068-4628

Mailing address

3060 Addie Pond Way SW
Marietta, GA 30064-5326
Phone (706) 992-3955

Other practice location 1

3707 Largent Way NW
Marietta, GA 30064-5981
Phone (678) 581-5729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20201212000177 GA Practitioner - Nurse Practitioner 3779995907 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

3707 Largent Nwway
Marietta, GA 30064-5981
Phone (678) 581-5729

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN216201GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Oct 1, 2023 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
North Roswell Internal Medicine, PC CurrentSince Jul 18, 2022 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

3707 Largent Way NW
Marietta, GA 30064
Phone (678) 581-5729

11050 Crabapple Rd
Ste 104B
Roswell, GA 30075
Phone (770) 645-0017

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3619/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1730786047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 ADDIE POND WAY SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645326",
            "telephone_number": "706-992-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 JOHNSON FERRY RD # 7044",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684628",
            "telephone_number": "770-977-9220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3707 Largent Way NW",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300645981",
            "country_code": "US",
            "telephone_number": "678-581-5729",
            "fax_number": "678-581-5835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSER",
        "first_name": "MONIQUE",
        "middle_name": "AN-JEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.