Individual provider Active NPI

Rosemary Proff, FNP-C

  • Family Nurse Practitioner
  • Big Bear Lake, CA
National Provider Identifier
1902521404
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022847 Issued in CA
Practice address
41870 Garstin Dr
Big Bear Lake, CA 92315-2088
Phone
(425) 256-0387
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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 95022847 CA Primary

Addresses

Primary practice location

41870 Garstin Dr
Big Bear Lake, CA 92315-2088

Mailing address

14029 Mango Dr Apt D
Del Mar, CA 92014-2966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20231115002269 CA Practitioner - Nurse Practitioner 3678920493 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encinitas Emergency Medicine IncGroup PAC ID 1951711357, 42 clinicians
Elevate Emergency MedicineGroup PAC ID 8325580707, 21 clinicians
Cep America - CaliforniaGroup PAC ID 6103739131, shared by 2 NPIs, 1,278 clinicians

Practice addresses (Care Compare)

1415 Ross Ave
El Centro, CA 92243-4306
Phone (858) 759-4765

354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone (760) 753-1362

41870 Garstin Dr
Big Bear Lake, CA 92315-2088
Phone (909) 866-6501

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Current Accepting new patients
Regents of the University of California CurrentSince Oct 1, 2024 Accepting new patients
Cep America-California CurrentSince Mar 5, 2024 Accepting new patients
Cep America - California CurrentSince Mar 5, 2024 Accepting new patients
Elevate Emergency Medicine CurrentSince May 13, 2024 Accepting new patients
Cep America - California Current Accepting new patients
Cep America-California CurrentSince Mar 5, 2024 Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Encinitas Emergency Medicine, Inc. Past Accepting new patients

Locations

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1902521404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14029 MANGO DR APT D",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41870 GARSTIN DR",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923152088",
            "telephone_number": "425-256-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFF",
        "first_name": "ROSEMARY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Bear Lake, CA

Sources for this page

Verify at the official NPI Registry.