Individual provider Active NPI

Rossiel Pita-Roman, NP

  • Family Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1851913271
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112994-23 Issued in NH
Practice address
2033 Gateway PL FL 5
San Jose, CA 95110-3709
Phone
(408) 539-5652
NPI assigned
May 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 112994-23 NH Primary
Family Nurse Practitioner 363LF0000X RN2281375 MA

Addresses

Primary practice location

2033 Gateway PL FL 5
San Jose, CA 95110-3709

Mailing address

100 S Ashley Dr Ste 600
Tampa, FL 33602-5304
Phone (813) 638-0903

Other practice location 1

3295 W Elder St Ste 209
Boise, ID 83705-4772
Phone (208) 957-5624

Other practice location 2

141 E Palace Ave Ste 101
Santa Fe, NM 87501-2041
Phone (505) 591-4297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210930001298 MA Practitioner - Nurse Practitioner 6800293044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112994-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bicycle Health Medical Group PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rossiel.pita-roman.1@13144.direct.athenahealth.com
  • Direct secure messaging: rossiel.pita-roman.2@18731.direct.athenahealth.com

Organizations & group practices 1

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": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1851913271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S ASHLEY DR STE 600",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025304",
            "telephone_number": "813-638-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 GATEWAY PL FL 5",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951103709",
            "telephone_number": "408-539-5652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3295 W Elder St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837054772",
            "country_code": "US",
            "telephone_number": "208-957-5624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 E Palace Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875012041",
            "country_code": "US",
            "telephone_number": "505-591-4297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITA-ROMAN",
        "first_name": "ROSSIEL",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "112994-23",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2281375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.