Individual provider Active NPI

Kristie B Rosser, APRN, FNP-C

  • Family Nurse Practitioner
  • Pleasant Grove, UT
National Provider Identifier
1932318805
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
264698-4405 Issued in UT
Practice address
338 W 2600 N
Pleasant Grove, UT 84062-9411
Phone
(801) 899-6131
Fax
(801) 705-0171
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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 264698-4405 UT Primary

Addresses

Primary practice location

338 W 2600 N
Pleasant Grove, UT 84062-9411

Mailing address

338 W 2600 N
Pleasant Grove, UT 84062-9411
Phone (801) 899-6131

Other names 1

  • Mrs. Kristie B Rosser Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hobblecreek Healthcare LLC Family Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1932318805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 W 2600 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840629411",
            "telephone_number": "801-899-6131",
            "fax_number": "801-705-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 W 2600 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840629411",
            "telephone_number": "801-899-6131",
            "fax_number": "801-705-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSER",
        "first_name": "KRISTIE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-01-02",
        "certification_date": "2023-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "264698-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIE",
            "last_name": "ROSSER",
            "middle_name": "B",
            "prefix": "MRS.",
            "credential": "APRN, FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pleasant Grove, UT

Sources for this page

Verify at the official NPI Registry.