JACQUELINE FREITAS ROSA (FNP-C) – Nurse Practitioner, NPI 1083196844

JACQUELINE FREITAS ROSA (FNP-C) is a healthcare provider. based in Westport, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. APRN01805 (RI). The NPI Number for JACQUELINE FREITAS ROSA (FNP-C) is 1083196844

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE FREITAS ROSA (FNP-C)
NPI
1083196844
Phone
(508) 636-5101
Address
827 AMERICAN LEGION HWY
Enumeration Date
29 August 2018
Last Update Date
8 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5086365101
Graduation Year
2017 (9 years ago)
PAC ID
3971856451
Group Practice PAC ID
0749171957
Professional Enrollment ID
I20181031000136
Address ID
MA027904128WE827XXHWYX400

Contacts

Secure Messaging
jrosa34021@direct.southcoast.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Other namesUpdated within 12 months

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for JACQUELINE FREITAS ROSA (FNP-C)

  • 827, American Legion Highway, Westport, Bristol County, Massachusetts, 02790, United States

    WESTPORT, MA 027904128

    Phone: (508) 636-5101

    Fax: (508) 636-3651

    Type: Location

  • 180, Mill Road, Nasketucket, Fairhaven, Bristol County, Massachusetts, 02719, United States

    FAIRHAVEN, MA 027195255

    Phone: (508) 973-2000

    Fax: (508) 973-2001

    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: 2018-10-31

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
I20181031000136INurse PractitionerMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes234181$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit124124$0
36415Insertion of needle into vein for collection of blood sample9281$0
99213Established patient office or other outpatient visit, 20-29 minutes6257$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report5654$0
View full utilization report →

Insurance plans in this area (ZIP 02790)

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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: 0749171957View full group profile
NameSpecialtyState
Nurse PractitionerRI
Pain Management, AnesthesiologyMA
Certified Registered Nurse Anesthetist (Crna)MA
Clinical Social WorkerMA
Hospitalist, Internal MedicineMA
Physician AssistantMA
H O S P I T A L I S TMA
Certified Registered Nurse Anesthetist (Crna)RI
Clinical Social WorkerMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

What unique ID ties claims to JACQUELINE FREITAS ROSA (FNP-C)?
NPI 1083196844 is assigned to JACQUELINE FREITAS ROSA (FNP-C) under the national enumeration system.
Is JACQUELINE FREITAS ROSA (FNP-C)'s NPI currently valid?
The extract we use shows JACQUELINE FREITAS ROSA (FNP-C) as active.
Does JACQUELINE FREITAS ROSA (FNP-C) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for JACQUELINE FREITAS ROSA (FNP-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for JACQUELINE FREITAS ROSA (FNP-C)?
The page summarizes Westport, Massachusetts for JACQUELINE FREITAS ROSA (FNP-C); expand the address list for detail.
What if Westport, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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