ROSE JENNINGS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1033711619

ROSE JENNINGS (CRNA) is a healthcare provider. based in Parkland, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. APRN11011466 (FL). The NPI Number for ROSE JENNINGS (CRNA) is 1033711619

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ROSE JENNINGS (CRNA)
NPI
1033711619
Phone
(786) 514-2712
Address
12613 NW 74TH PL
Enumeration Date
10 November 2020
Last Update Date
3 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665075244
Graduation Year
2020 (6 years ago)
PAC ID
5395152730
Group Practice PAC ID
9133390313
Professional Enrollment ID
I20210331000511
Address ID
FL334846514DE5352XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for ROSE JENNINGS (CRNA)

  • 12613 NW 74TH PL

    PARKLAND, FL 330764211

    Phone: (786) 514-2712

    Type: Mailing

  • 1500 CONCORD TER

    SUNRISE, FL 333232815

    Phone: (800) 243-3839

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210331000511ICertified Registered Nurse Anesthetist (Crna)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33076)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133390313View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YFL
-FL
-FL

Reviews

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Frequently asked questions

How is ROSE JENNINGS (CRNA) identified in CMS data?
CMS-hosted NPPES data lists ROSE JENNINGS (CRNA) with NPI 1033711619.
Can I rely on ROSE JENNINGS (CRNA) being an active provider?
As of the registry snapshot, ROSE JENNINGS (CRNA) is marked active.
What healthcare role does ROSE JENNINGS (CRNA) hold?
Scheduling teams often label ROSE JENNINGS (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for ROSE JENNINGS (CRNA)?
ROSE JENNINGS (CRNA)'s geographic hint is Parkland, Florida in our summary view.
Is the information about ROSE JENNINGS (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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