Individual provider Active NPI

Abegail Legacion Rose, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1942190046
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
238687 Issued in AZ
Practice address
3242 E Regina St
Mesa, AZ 85213-1916
Phone
(480) 324-6597
NPI assigned
Jul 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 238687 AZ Primary

Addresses

Primary practice location

3242 E Regina St
Mesa, AZ 85213-1916

Mailing address

3242 E Regina St
Mesa, AZ 85213-1916
Phone (480) 324-6597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260120001450 AZ Practitioner - Nurse Practitioner 4183101314 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RSH LLCGroup PAC ID 9436502978, 7 clinicians
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians
Mountain View Headache and Spine Institute PLLCGroup PAC ID 9830590439, 8 clinicians

Practice addresses (Care Compare)

14810 N del Webb Blvd
Sun City, AZ 85351-2146
Phone (480) 550-9096

358 E Javelina Ave
Suite 103
Mesa, AZ 85210-6205
Phone (480) 507-3180

4729 E Union Hills Dr
Suite 111
Phoenix, AZ 85050-3390
Phone (602) 767-0007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238687AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Community Bridges, Inc Current Accepting new patients

Locations

824 N 99th Ave
Ste 107108
Avondale, AZ 85323
Phone (623) 907-1457

358 E Javelina Ave
Ste 101
Mesa, AZ 85210
Phone (480) 507-3180

560 S Bellview
Rm A
Mesa, AZ 85204
Phone (480) 962-7711

358 E Javelina Ave
Ste 103
Mesa, AZ 85210
Phone (480) 507-3180

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

2770 E Van Buren St
Phoenix, AZ 85008
Phone (602) 273-9999

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

2770 E Van Buren St
Ste Abd
Phoenix, AZ 85008

250 S Toole Ave
Ste B
Tucson, AZ 85701
Phone (520) 323-1312

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

Organizations & group practices 7

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": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1942190046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3242 E REGINA ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852131916",
            "telephone_number": "480-324-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3242 E REGINA ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852131916",
            "telephone_number": "480-324-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ABEGAIL",
        "middle_name": "LEGACION",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "238687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.