Active NPI
Rosanne Fitzgerald, FNP-BC
- Family Nurse Practitioner
- Lakeview, OR
National Provider Identifier
1871840868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201250108NP
- Practice address
- 700 S J St
Lake Health Clinic
Lakeview, OR 97630-1623 - Phone
- (541) 947-8113
- Fax
- (541) 947-8109
- NPI assigned
- Aug 8, 2012
- Last updated
- Feb 10, 2021
- 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 | 22114 | CA | |
| Family Nurse Practitioner | 363LF0000X | 201250108NP | OR | Primary |
Addresses
Primary practice location
700 S J St
Lake Health Clinic
Lakeview, OR 97630-1623
Mailing address
700 S J St
Lake Health Clinic
Lakeview, OR 97630-1623
Phone (541) 947-8113
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | 800207@Lake.Cernerdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1250 S 9TH St
Lakeview, OR 97630-1913
Phone 5419472114404
700 S J St
Lakeview, OR 97630-1623
Phone (541) 947-2114
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22114 | CA | MD | Family Nurse Practitioner |
| 201250108NP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Health District | Current | Accepting new patients | |
| Lake Health District | Past | Accepting new patients | |
| Lake County Medical Clinic, P.C. | Past | Accepting new patients | |
| Lake Health District | Past | Accepting new patients |
Locations
700 S J St
Lakeview, OR 97630
Phone (541) 947-2114
Interoperability endpoints
- 800207@lake.cernerdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lake District Hospital
- Critical Access Hospital
- Lakeview, OR
- NPI 1376698522
-
- Family Medicine Physician
- Lakeview, OR
- NPI 1922085604
-
- Rural Health Clinic/Center
- Lakeview, OR
- NPI 1699183236
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NW High Desert Sleep Center Bend
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
dba Lake District Hospital
- Critical Access Hospital
- Lakeview, OR
- NPI 1376698522
-
dba St. Charles Bend
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1871840868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S J ST",
"address_2": "LAKE HEALTH CLINIC",
"city": "LAKEVIEW",
"state": "OR",
"postal_code": "976301623",
"telephone_number": "541-947-8113",
"fax_number": "541-947-8109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S J ST",
"address_2": "LAKE HEALTH CLINIC",
"city": "LAKEVIEW",
"state": "OR",
"postal_code": "976301623",
"telephone_number": "541-947-8113",
"fax_number": "541-947-8109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "ROSANNE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-08",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "22114",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201250108NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "800207@Lake.Cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Lake Health District Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "700 S J St",
"address_2": "Lake Health Clinic",
"city": "Lakeview",
"state": "OR",
"country_code": "US",
"postal_code": "976301623",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lakeview, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.