DR. ROSAN MARIE SEQUEDA (M.D.) – General Practice Physician, NPI 1174842421

DR. ROSAN MARIE SEQUEDA (M.D.) is a healthcare provider. based in Palatka, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. ACN910 (FL). The NPI Number for DR. ROSAN MARIE SEQUEDA (M.D.) is 1174842421

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROSAN MARIE SEQUEDA (M.D.)
NPI
1174842421
Phone
(386) 326-7342
Address
1302 RIVER ST
Enumeration Date
26 May 2010
Last Update Date
19 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3864673171
Graduation Year
2008 (18 years ago)
PAC ID
7416141692
Group Practice PAC ID
7214849520
Professional Enrollment ID
I20171104000113
Address ID
FL321930428WE405XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,466 GENERAL PRACTICE in FL

Provider Addresses for DR. ROSAN MARIE SEQUEDA (M.D.)

  • 1302 RIVER ST

    PALATKA, FL 321775042

    Phone: (386) 326-7342

    Fax: (386) 325-1086

    Type: Mailing

  • 712 53RD AVE E

    BRADENTON, FL 342035827

    Phone: (941) 755-2456

    Fax: (877) 788-3881

    Type: Location

  • 8240 LAKEWOOD RANCH BLVD UNIT 311

    LAKEWOOD RANCH, FL 342025278

    Phone: (941) 755-2456

    Fax: (877) 788-3881

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($30).

Total Amount

$49

General + Research + Ownership

Payments

2

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-11-04

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
I20171104000113IGeneral PracticeFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level2215$0
81002Urinalysis, manual test1311$0
View full utilization report →

Insurance plans in this area (ZIP 32177)

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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: 7214849520View full group profile

Reviews

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Frequently asked questions

How is DR. ROSAN MARIE SEQUEDA (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. ROSAN MARIE SEQUEDA (M.D.) with NPI 1174842421.
Can I rely on DR. ROSAN MARIE SEQUEDA (M.D.) being an active provider?
As of the registry snapshot, DR. ROSAN MARIE SEQUEDA (M.D.) is marked active.
What is DR. ROSAN MARIE SEQUEDA (M.D.)'s specialty?
The listing groups DR. ROSAN MARIE SEQUEDA (M.D.) with General Practice Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ROSAN MARIE SEQUEDA (M.D.)?
DR. ROSAN MARIE SEQUEDA (M.D.)'s geographic hint is Palatka, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.