Individual provider Active NPI

Donkenson L Rousseau, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Weldon Spring, MO
National Provider Identifier
1972360188
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11031626 Issued in FL
Practice address
4801 Weldon Spring Pkwy
Weldon Spring, MO 63304-9101
Phone
(636) 723-9306
NPI assigned
Mar 4, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 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 APRN11031626 FL Primary

Addresses

Primary practice location

4801 Weldon Spring Pkwy
Weldon Spring, MO 63304-9101

Mailing address

2050 Civic Center PL
Miramar, FL 33025-7803
Phone (954) 665-0843

Other practice location 1

639 S Silver Springs Rd
Cape Girardeau, MO 63703-7539
Phone (832) 869-4818

Other practice location 2

441 NW 102nd Ter
Pembroke Pines, FL 33026-3994
Phone (954) 665-0843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240914000753 MO Practitioner - Nurse Practitioner 8628518818 Reassigns benefits to 2 organizations
I20260105002479 FL Practitioner - Nurse Practitioner 8628518818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

4700 N Habana Ave
Suite 601
Tampa, FL 33614-7160
Phone 8328694818235

639 S Silver Springs Rd
Cape Girardeau, MO 63703-7539
Phone 8328694818235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11031626FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychplus Medical Associates, PLLC CurrentSince Dec 24, 2025 Accepting new patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Dec 24, 2025 Accepting new patients
St. Louis Internal Medicine Inc PastSince Aug 8, 2024 Accepting new patients

Locations

250 2nd St E
Ste 4C
Bradenton, FL 34208
Phone (941) 744-5860

6700 Winkler Rd
Ste 4
Fort Myers, FL 33919
Phone 8328694818 ext. 235

8700 N Kendall Dr
Ste 218
Miami, FL 33176
Phone (305) 598-7001

5995 SE Community Dr
Stuart, FL 34997
Phone (727) 424-3427

4700 N Habana Ave
Ste 601
Tampa, FL 33614
Phone (201) 706-1143

639 S Silver Springs Rd
Cpe Girardeau, MO 63703
Phone (573) 708-5000

1834 Broadway St
Cpe Girardeau, MO 63701
Phone (573) 334-5070

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

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.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1972360188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 CIVIC CENTER PL",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257803",
            "telephone_number": "954-665-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 WELDON SPRING PKWY",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633049101",
            "telephone_number": "636-723-9306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "639 S Silver Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637037539",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 NW 102nd Ter",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330263994",
            "country_code": "US",
            "telephone_number": "954-665-0843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUSSEAU",
        "first_name": "DONKENSON",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-04",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11031626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weldon Spring, MO

Sources for this page

Verify at the official NPI Registry.