Individual provider Active NPI

Addison McKendree Rosborough, FNP-BC

  • Family Nurse Practitioner
  • Middleburg, FL
National Provider Identifier
1801528575
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11020398 Issued in FL
Practice address
1811 Blanding Blvd Ste 102
Middleburg, FL 32068-4935
Phone
(904) 264-8801
Fax
(833) 578-1804
NPI assigned
Jun 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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 APRN11020398 FL Primary

Addresses

Primary practice location

1811 Blanding Blvd Ste 102
Middleburg, FL 32068-4935

Mailing address

330 Corporate Way Ste 200
Orange Park, FL 32073-6214
Phone (904) 282-6331

Other practice location 1

1545 Branan Field Rd Ste 1
Middleburg, FL 32068-8429
Phone (904) 450-8575

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
I20221012001302 FL Practitioner - Nurse Practitioner 4789050048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians

Practice addresses (Care Compare)

1821 Blanding Blvd
Suite 1
Middleburg, FL 32068-3839
Phone (904) 406-3160

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11020398FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group Services PA CurrentSince Apr 28, 2025 Accepting new patients
Physicians Group Services PA Family Current Accepting new patients
Physicians Group Services PA CurrentSince Apr 28, 2025 Accepting new patients
Physicians Group Services PA Past Accepting new patients

Locations

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

1811 Blanding Blvd
Ste 102
Middleburg, FL 32068
Phone (904) 456-0017

1821 Blanding Blvd
Middleburg, FL 32068
Phone (904) 271-4096

1821 Blanding Blvd
Ste 1
Middleburg, FL 32068
Phone (904) 406-3160

705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474

Interoperability endpoints

  • Direct secure messaging: addison.rosborough.1@25110.direct.athenahealth.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.

Hospital & facility affiliations 4

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": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1801528575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CORPORATE WAY STE 200",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736214",
            "telephone_number": "904-282-6331",
            "fax_number": "904-866-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 BLANDING BLVD STE 102",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320684935",
            "telephone_number": "904-264-8801",
            "fax_number": "833-578-1804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Branan Field Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "FL",
            "postal_code": "320688429",
            "country_code": "US",
            "telephone_number": "904-450-8575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSBOROUGH",
        "first_name": "ADDISON",
        "middle_name": "MCKENDREE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

Verify at the official NPI Registry.