Individual provider Active NPI

Jacqueline Jhovana Dalla Rosa, ARNP-BC

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1871000513
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9335763 Issued in FL
Practice address
6521 N Andrews Ave
Fort Lauderdale, FL 33309-2131
Phone
(954) 941-6301
NPI assigned
Jan 3, 2018
Last updated
Jan 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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 ARNP9335763 FL Primary

Addresses

Primary practice location

6521 N Andrews Ave
Fort Lauderdale, FL 33309-2131

Mailing address

106 Devonshire Cir
Royal Palm Beach, FL 33414-4313
Phone (786) 385-9090

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
I20180220001673 FL Practitioner - Nurse Practitioner 0446511133 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, shared by 5 NPIs, 908 clinicians

Practice addresses (Care Compare)

655 W 8TH St
Jacksonville, FL 32231-6511
Phone (904) 244-6340

76011 William Burgess Rd
Yulee, FL 32097-5428
Phone (904) 427-8590

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9335763FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dwic of Tampa Bay, Inc. CurrentSince Nov 15, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Feb 5, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Nov 15, 2018 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Nov 15, 2018 Accepting new patients
Dwic of Tampa Bay, Inc CurrentSince Nov 15, 2018 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Feb 5, 2024 Accepting new patients
Dwic of Tampa Bay, Inc. Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Quality Primary Care P a Past Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

11985 Atlantic Blvd
Jacksonville, FL 32225
Phone (904) 642-1217

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

Interoperability endpoints

  • Direct secure messaging: jdallarosa677676@direct.shands.ufl.edu

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1871000513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 DEVONSHIRE CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334144313",
            "telephone_number": "786-385-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6521 N ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092131",
            "telephone_number": "954-941-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLA ROSA",
        "first_name": "JACQUELINE",
        "middle_name": "JHOVANA",
        "name_prefix": "Mrs.",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9335763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.