Individual provider Active NPI

Rachel Rosenbaum

  • Acute Care Nurse Practitioner
  • Rogers, AR
National Provider Identifier
1891301818
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
125405 Issued in AR
Practice address
2708 S Rife Medical LN Ste 210
Rogers, AR 72758-1456
Phone
(479) 338-3888
Fax
(479) 338-4453
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 125405 AR Primary
Critical Care Medicine Clinical Nurse Specialist 364SC0200X 125405 AR

Addresses

Primary practice location

2708 S Rife Medical LN Ste 210
Rogers, AR 72758-1456

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (314) 543-6979

Other practice location 1

2615 Creekside Dr
Little Rock, AR 72211-4580
Phone (501) 912-9804

Other practice location 2

4301 W Markham St
Little Rock, AR 72205-7101
Phone (501) 686-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20201008002695 AR Practitioner - Nurse Practitioner 4385064500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2708 S Rife Medical LN
Suite 210
Rogers, AR 72758-1456
Phone (479) 338-3888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125405ARMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Sep 21, 2020 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 1, 2024 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Sep 21, 2020 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

2708 S Rife Medical Ln
Ste 210
Rogers, AR 72758
Phone (479) 338-3888

Organizations & group practices 6

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 1

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1891301818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "314-543-6979",
            "fax_number": "314-364-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 S RIFE MEDICAL LN STE 210",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581456",
            "telephone_number": "479-338-3888",
            "fax_number": "479-338-4453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2615 Creekside Dr",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722114580",
            "country_code": "US",
            "telephone_number": "501-912-9804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 W Markham St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "125405",
            "primary": true
        },
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "AR",
            "license": "125405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.