RUKIYA ROSEBORO (APRN) – Gerontology Nurse Practitioner, NPI 1497177208

Gerontology Nurse Practitioner

RUKIYA ROSEBORO (APRN) is a healthcare provider. based in St petersburg, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN9192057 (FL). The NPI Number for RUKIYA ROSEBORO (APRN) is 1497177208

Main info

Female

13 Years Of Experience

Accepts Medicare Assignment

Name

RUKIYA ROSEBORO (APRN)

NPI

1497177208

Phone

(727) 824-0780

Address

10051 5TH ST N STE 200

Enumeration Date

13 January 2014

Last Update Date

22 May 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7275590895

Graduation Year

2013 (13 years ago)

PAC ID

6305060112

Group Practice PAC ID

3072403476

Professional Enrollment ID

I20140618001223

Address ID

FL337702276LA1345XDRXX401

Telehealth

Yes

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience48

Completeness75

Years active:12State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for RUKIYA ROSEBORO (APRN)

10051 5TH ST N STE 200
ST PETERSBURG, FL 337022211
Phone: (727) 824-0780
Type: Mailing
5935 7TH ST
ZEPHYRHILLS, FL 335423501
Phone: (813) 782-7778
Fax: (813) 782-2361
Type: Mailing
5130 SUNFOREST DR STE 300
TAMPA, FL 336346327
Phone: (727) 824-0780
Fax: (813) 514-8891
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: 2014-06-18

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20140618001223	I	Nurse Practitioner	FL	TBD

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99214	Established patient office or other outpatient visit, 30-39 minutes	27	27	$0

View full utilization report →

Insurance plans in this area (ZIP 33702)

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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: 3072403476View full group profile

Name	Specialty	State
DR. ELBA ENER MASID (M.D.)	Family Practice	FL
FELIPE ALBERTO ALVARADO AMADO (MD)	Internal Medicine	FL
RAMA MADHUSOODANAN (MD)	-	FL
MICHAEL ANTHONY ZANE (D.O.)	Internal Medicine	FL
RUPERL C PATEL (MD)	-	FL
DR. BONNIE WATSON LLOYD (D.O.)	-	FL
LISA R JAMIL (ARNP)	-	FL
MRS. BEVERLY DORSON ELMORE (PA-C)	Physician Assistant	FL
STEPHANIE F STROBEL (AGPNP-C)	Nurse Practitioner	FL
JASON R HAGERTY (NP-C)	-	FL

Reviews

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Frequently asked questions

What number should I use to identify RUKIYA ROSEBORO (APRN) for billing?

Administrative and clinical systems typically use NPI 1497177208 for RUKIYA ROSEBORO (APRN).

Is RUKIYA ROSEBORO (APRN) currently accepting referrals based on NPI status?

Registry metadata lists RUKIYA ROSEBORO (APRN) as active.

What does the directory say RUKIYA ROSEBORO (APRN) does?

Insurance directories may phrase it differently, but here RUKIYA ROSEBORO (APRN) maps to Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What geographic area is tied to RUKIYA ROSEBORO (APRN)?

RUKIYA ROSEBORO (APRN) is associated with St Petersburg, Florida in the same public data insurers reference.

Why is information missing for RUKIYA ROSEBORO (APRN)?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.