Active NPI
Kindred Marie Corsame Eluna Roszell, ARNP
- Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 357356
- Practice address
- 30 Broad St FL 45
New York, NY 10004-2942 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- NPI assigned
- Oct 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN9284945 | FL | |
| Nurse Practitioner | 363L00000X | 357356 | NY | Primary |
Addresses
Primary practice location
30 Broad St FL 45
New York, NY 10004-2942
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791
Other practice location 1
4771 S Cleveland Ave
Fort Myers, FL 33907-1317
Phone (239) 343-9800
Other practice location 2
13340 Metro Pkwy Ste 1000
Fort Myers, FL 33966-4819
Phone (239) 343-0490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101316400 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kelunaroszell120184@Direct.leememorial.org | Lee Memorial Health System |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900
333 W 41St St
Suite 414
Miami Beach, FL 33140-3608
Phone (212) 734-6621
3501 Health Ctr Blvd
Estero, FL 34135-8127
4751 S Cleveland Ave
Fort Myers, FL 33907-1317
Phone (239) 343-9888
4771 S Cleveland Ave
Fort Myers, FL 33907-1317
Phone (239) 343-9800
Hospital & facility affiliations
- Cape Coral Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 357356 | NY | MD | Nurse Practitioner |
| RN9284945 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Memorial Health System | Nurse Practitioner | Current | Accepting new patients |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Chaim Gitelis DO PC | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Health System Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
9500 Bonita Beach Rd SE
Ste 101
Bonita Springs, FL 34135
Phone (239) 498-9294
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
13813 Metro Pkwy
Fort Myers, FL 33912
Phone (239) 936-1343
4771 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 343-9800
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
Networks
- Freedom Health HMO Network
Interoperability endpoints
- kelunaroszell120184@direct.leememorial.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
Nurse Practitioner
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1861967887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723",
"telephone_number": "415-658-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BROAD ST FL 45",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100042942",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "4771 S Cleveland Ave",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339071317",
"country_code": "US",
"telephone_number": "239-343-9800",
"fax_number": "239-343-9848",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13340 Metro Pkwy Ste 1000",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339664819",
"country_code": "US",
"telephone_number": "239-343-0490",
"fax_number": "239-343-0499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELUNA ROSZELL",
"first_name": "KINDRED",
"middle_name": "MARIE CORSAME",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-05",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "RN9284945",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "357356",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101316400",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kelunaroszell120184@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "Lee Memorial Health System",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.