MS. CRISTY ANNE ROSE (APRN) – Family Nurse Practitioner, NPI 1831952639

MS. CRISTY ANNE ROSE (APRN) is a healthcare provider. based in Daytona beach, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11030974 (FL). The NPI Number for MS. CRISTY ANNE ROSE (APRN) is 1831952639

Main info

Female
Sole Proprietor
3 Years Of Experience
Name
MS. CRISTY ANNE ROSE (APRN)
NPI
1831952639
Phone
(386) 241-1020
Address
311 N Clyde Morris Blvd
Enumeration Date
5 February 2024
Last Update Date
3 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4076472346111
Graduation Year
2023 (3 years ago)
PAC ID
5698116416
Group Practice PAC ID
7517491160
Professional Enrollment ID
I20240510002568
Address ID
FL327467107LA525XXPARK302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:2State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MS. CRISTY ANNE ROSE (APRN)

  • 311 N Clyde Morris Blvd

    Daytona Beach, FL 321142781

    Phone: (386) 241-1020

    Fax: (386) 241-1022

    Type: Location

  • 525 Technology Park Ste 109

    Lake Mary, FL 327467107

    Phone: (407) 647-2346

    Type: Location

  • P O BOX 10008

    GAINESVILLE, FL 326100108

    Phone: (352) 265-0535

    Fax: (352) 627-4173

    Type: Mailing

  • 1600 SW ARCHER RD

    GAINESVILLE, FL 326106270

    Phone: (352) 265-0535

    Fax: (352) 627-4173

    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: 2024-05-10

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
I20240510002568INurse 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 32114)

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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: 7517491160View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Infectious DiseaseFL
Nurse PractitionerNY
Internal MedicineFL
Internal MedicineFL

Reviews

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Frequently asked questions

How do I look up MS. CRISTY ANNE ROSE (APRN) by NPI?
Use NPI 1831952639 when you need to reference MS. CRISTY ANNE ROSE (APRN) in forms, claims, or directories.
Does this profile mean MS. CRISTY ANNE ROSE (APRN) is currently active?
Yes — MS. CRISTY ANNE ROSE (APRN) appears active in the national provider directory.
Does MS. CRISTY ANNE ROSE (APRN) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MS. CRISTY ANNE ROSE (APRN). Clinical services aligned with this taxonomy classification.
Where is MS. CRISTY ANNE ROSE (APRN)'s primary listing?
We display Daytona Beach, Florida because that is what the record indicates for MS. CRISTY ANNE ROSE (APRN).
How can I contact MS. CRISTY ANNE ROSE (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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