Individual provider Active NPI

Roseline Raphael, DNP,FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1801249552
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9275102 Issued in FL
Practice address
9900 W Sample Rd Ste 300
Coral Springs, FL 33065-4077
Phone
(954) 866-0810
Fax
(877) 552-0946
NPI assigned
Jul 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9275102 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9275102 FL Primary

Addresses

Primary practice location

9900 W Sample Rd Ste 300
Coral Springs, FL 33065-4077

Mailing address

8801 W Atlantic Blvd # 773714
Coral Springs, FL 33071-7462
Phone (954) 866-0810

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
I20211007002375 FL Practitioner - Nurse Practitioner 3274890926 Reassigns benefits to 2 organizations

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

Practice addresses (Care Compare)

5841 Corporate Way
Suite 200
West Palm Beach, FL 33407-2039
Phone (561) 684-1991

9900 W Sample Rd
Suite 203 51
Coral Springs, FL 33065-4048
Phone 95486608102001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9275102FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Replenish Current Accepting new patients
Ferd and Gladys Alpert Jewish Family & Childrens SVC of PLM BCH CurrentSince Jul 9, 2024 Accepting new patients
Alpert Jewish Family & Children Services, Inc Past Accepting new patients

Locations

9085 Hagen Ranch Rd
Boynton Beach, FL 33472
Phone (561) 684-1991

9900 W Sample Rd
Ste 300
Coral Springs, FL 33065
Phone (561) 765-5179

5841 Corporate Way
Ste 200
West Palm Beach, FL 33407
Phone (561) 684-1991

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": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1801249552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 W ATLANTIC BLVD # 773714",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717462",
            "telephone_number": "954-866-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 W SAMPLE RD STE 300",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654077",
            "telephone_number": "954-866-0810",
            "fax_number": "877-552-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL",
        "first_name": "ROSELINE",
        "credential": "DNP,FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9275102",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9275102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.