Individual provider Active NPI

Roshani Levister, PA-C

  • Physician Assistant
  • Casselberry, FL
National Provider Identifier
1972052959
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9109818 Issued in FL
Practice address
3950 S US Highway 17/92 Ste 1040
Casselberry, FL 32707-3289
Phone
(407) 960-2188
NPI assigned
Oct 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9109818 FL Primary

Addresses

Primary practice location

3950 S US Highway 17/92 Ste 1040
Casselberry, FL 32707-3289

Mailing address

3950 S US Highway 17/92 Ste 1040
Casselberry, FL 32707-3289
Phone (407) 960-2188

Other practice location 1

3420 Fruitville Rd
Sarasota, FL 34237-9024
Phone (941) 954-8686

Other practice location 2

3420 Fruitville Rd
Sarasota, FL 34237-9024
Phone (941) 954-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180321002557 FL Practitioner - Physician Assistant 4385906809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Hunt Club Medical PLCGroup PAC ID 7416994843, 8 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

3191 E Semoran Blvd
Apopka, FL 32703-5943
Phone (407) 788-6500

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9109818FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health Matters of Sarasota PLLC PastSince Sep 3, 2016 Accepting new patients
Orlando Carenow Urgent Care LLC Past Accepting new patients

Organizations & group practices 3

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 2

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": "1475280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972052959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 S US HIGHWAY 17/92 STE 1040",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073289",
            "telephone_number": "407-960-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 S US HIGHWAY 17/92 STE 1040",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073289",
            "telephone_number": "407-960-2188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3420 Fruitville Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342379024",
            "country_code": "US",
            "telephone_number": "941-954-8686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3420 Fruitville Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342379024",
            "country_code": "US",
            "telephone_number": "941-954-8686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVISTER",
        "first_name": "ROSHANI",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9109818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

Verify at the official NPI Registry.