ROSE-ESTELLE TANIA CELESTIN-OBAS (AGACNP) – Acute Care Nurse Practitioner, NPI 1205487063

ROSE-ESTELLE TANIA CELESTIN-OBAS (AGACNP) is a healthcare provider. based in Coconut creek, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP. They hold a License No. APRN11004895 (FL). The NPI Number for ROSE-ESTELLE TANIA CELESTIN-OBAS (AGACNP) is 1205487063

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
ROSE-ESTELLE TANIA CELESTIN-OBAS (AGACNP)
NPI
1205487063
Phone
(786) 395-5481
Address
4946 PELICAN ST
Enumeration Date
24 September 2019
Last Update Date
1 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722556565
Graduation Year
2019 (7 years ago)
PAC ID
8123569555
Group Practice PAC ID
6709249212
Professional Enrollment ID
I20240925001230
Address ID
FL349902907PA1165XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for ROSE-ESTELLE TANIA CELESTIN-OBAS (AGACNP)

  • 4946, Pelican Street, Coconut Creek, Broward County, Florida, 33073, United States

    COCONUT CREEK, FL 330732426

    Phone: (786) 395-5481

    Type: Mailing

  • 2820 NE 214TH ST STE 809

    AVENTURA, FL 331801270

    Phone: (786) 395-5481

    Type: Mailing

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: 2024-09-25

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
I20240925001230INurse PractitionerFLTBD

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 33073)

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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: 6709249212View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for ROSE-ESTELLE TANIA CELESTIN-OBAS (AGACNP) in U.S. healthcare records?
The official identifier for ROSE-ESTELLE TANIA CELESTIN-OBAS (AGACNP) is NPI 1205487063.
Would ROSE-ESTELLE TANIA CELESTIN-OBAS (AGACNP) appear as active to a payer?
You can treat ROSE-ESTELLE TANIA CELESTIN-OBAS (AGACNP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is ROSE-ESTELLE TANIA CELESTIN-OBAS (AGACNP)?
ROSE-ESTELLE TANIA CELESTIN-OBAS (AGACNP) is associated with Acute Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for ROSE-ESTELLE TANIA CELESTIN-OBAS (AGACNP)?
Travel planning: use Coconut Creek, Florida as the reference point for ROSE-ESTELLE TANIA CELESTIN-OBAS (AGACNP), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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