Individual provider Active NPI

Jessica Lynne Roldan, ARNP

  • Family Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1780128645
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9169174 Issued in FL
Practice address
975 Baptist Way Ste 203
Homestead, FL 33033
Phone
(305) 274-7800
Fax
(305) 270-1246
NPI assigned
Dec 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 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 ARNP9169174 FL Primary

Addresses

Primary practice location

975 Baptist Way Ste 203
Homestead, FL 33033

Mailing address

23711 SW 212TH Ave
Homestead, FL 33031-1072
Phone (786) 663-4859

Other practice location 1

23711 SW 212th Ave
Homestead, FL 33031-1072
Phone (786) 663-4859

Other practice location 2

8525 SW 92nd St Ste C10
Miami, FL 33156-7378
Phone (305) 274-7800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessicarol@cerner.directbaptisthealth.com

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
I20181214002324 FL Practitioner - Nurse Practitioner 9133464498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians
Universal Therapy Center IncGroup PAC ID 4486732153, 40 clinicians

Practice addresses (Care Compare)

12314 SW 127TH Ave
Miami, FL 33186-6579
Phone (786) 595-8080

7223 Coral Way
Miami, FL 33155-1401
Phone (305) 264-0470

Hospital & facility affiliations

  • High Standard Health Services Inc Home health agency, Miami, FL, CCN 109330

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9169174FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Physicians LLC CurrentSince Sep 2, 2018 Accepting new patients

Locations

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200

12314 SW 127th Ave
Miami, FL 33186
Phone (305) 333-5230

6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240

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 1

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": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1780128645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23711 SW 212TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330311072",
            "telephone_number": "786-663-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY STE 203",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33033",
            "telephone_number": "305-274-7800",
            "fax_number": "305-270-1246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23711 SW 212th Ave",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330311072",
            "country_code": "US",
            "telephone_number": "786-663-4859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8525 SW 92nd St Ste C10",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331567378",
            "country_code": "US",
            "telephone_number": "305-274-7800",
            "fax_number": "305-270-1246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLDAN",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2022-02-08",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9169174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessicarol@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "23711 SW 212th Ave",
            "city": "Homestead",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330311072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.