JENNIFER ROSE – Psychiatric/Mental Health Nurse Practitioner, NPI 1518690379

JENNIFER ROSE is a healthcare provider. based in Weston, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11020745 (FL). The NPI Number for JENNIFER ROSE is 1518690379

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER ROSE
NPI
1518690379
Phone
(954) 551-6972
Address
3921 HAWKS CT
Enumeration Date
7 July 2022
Last Update Date
14 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7187856367
Graduation Year
2021 (5 years ago)
PAC ID
1052858669
Group Practice PAC ID
8820401870
Professional Enrollment ID
I20240731004311
Address ID
FL331623842NO1001XBLVD500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:3State licenses:2Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for JENNIFER ROSE

  • 3921 HAWKS CT

    WESTON, FL 333315023

    Phone: (954) 551-6972

    Fax: (954) 385-1019

    Type: Mailing

  • PO BOX 267186

    WESTON, FL 333267186

    Phone: (786) 320-5559

    Fax: (786) 796-1021

    Type: Mailing

  • 1001 N MIAMI BEACH BLVD

    NORTH MIAMI BEACH, FL 331623842

    Phone: (786) 320-5559

    Fax: (786) 796-1021

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $420.

Total Amount is formed as General ($420) + Research ($0) + Ownership ($0) = $420.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: MERZ NORTH AMERICA, INC. ($111).

Total Amount

$420

General + Research + Ownership

Payments

14

Total payment records

General Amount

$420

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

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: 2024-07-31

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
I20240731004311INurse 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 33331)

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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: 8820401870View full group profile
NameSpecialtyState
Mental Health CounselorFL

Reviews

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Frequently asked questions

How do payers reference JENNIFER ROSE?
For JENNIFER ROSE, use NPI 1518690379 as the unique 10-digit identifier.
Is JENNIFER ROSE shown as active in public data?
Registry records indicate JENNIFER ROSE maintains an active NPI.
What clinical focus is listed for JENNIFER ROSE?
At a glance, JENNIFER ROSE is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Florida is JENNIFER ROSE registered?
Use Weston, Florida as the headline location for JENNIFER ROSE here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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