Individual provider Active NPI

Alexandria Dolores St Rose, ARNP

  • Adult Health Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1740765130
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11000472 Issued in FL
Practice address
2100 SE Hillmoor Dr Ste 101
Port St Lucie, FL 34952-8057
Phone
(561) 713-3772
NPI assigned
Oct 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9370029 FL
Adult Health Nurse Practitioner 363LA2200X 11000472 FL Primary

Addresses

Primary practice location

2100 SE Hillmoor Dr Ste 101
Port St Lucie, FL 34952-8057

Mailing address

271 NE Granduer Ave
Port St Lucie, FL 34983-1288
Phone (561) 713-3772

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
I20190221000087 FL Practitioner - Nurse Practitioner 7618215476 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Experts Health Network, LLCGroup PAC ID 6608195599, 99 clinicians

Practice addresses (Care Compare)

701 N Federal Hwy
Suite 601
Hallandale Beach, FL 33009-2449
Phone (954) 482-4747

Merit-based Incentive Payment System (MIPS)

Final score
41.84 of 100Reported as group
Quality
43.55
Promoting interoperability
0
Improvement activities
0
Cost
76.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9370029FLMDNurse Practitioner
11000472FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samerah Razuman MD PLLC CurrentSince Sep 6, 2022 Accepting new patients
Primary Care Solutions & More LLC CurrentSince Mar 22, 2023 Accepting new patients
National Kidney Partners, LLP CurrentSince Feb 25, 2023 Accepting new patients

Locations

2000 Hartman Rd
Ste 1
Fort Pierce, FL 34947
Phone (772) 465-1170

14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418

107 NE 19th Dr
Okeechobee, FL 34972
Phone (772) 402-3449

1631 SW Gatlin Blvd
Ste 102
Port Saint Lucie, FL 34953
Phone (772) 465-1170

1401 SE Goldtree Dr
Ste 102
Port St Lucie, FL 34952
Phone (772) 337-3540

1701 SE Hillmoor Dr
Ste 7
Port St Lucie, FL 34952
Phone (772) 398-9808

Interoperability endpoints

  • Direct secure messaging: alexandria.strose@direct.davitaphysiciansolutions.com

Organizations & group practices 4

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": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1740765130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 NE GRANDUER AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831288",
            "telephone_number": "561-713-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE HILLMOOR DR STE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528057",
            "telephone_number": "561-713-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST ROSE",
        "first_name": "ALEXANDRIA",
        "middle_name": "DOLORES",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9370029",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11000472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.