JENNICA LISETTE ROSA (NP-C) – Family Nurse Practitioner, NPI 1174089965

JENNICA LISETTE ROSA (NP-C) is a healthcare provider. based in Tacoma, Washington. specializing in Family Nurse Practitioner. They hold the professional credentials NP-C. They hold a License No. AP140646 (TX). The NPI Number for JENNICA LISETTE ROSA (NP-C) is 1174089965

Main info

Female
Name
JENNICA LISETTE ROSA (NP-C)
NPI
1174089965
Phone
(210) 906-9658
Address
1210 TACOMA AVE S APT 303
Enumeration Date
16 February 2019
Last Update Date
9 September 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

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Provider Addresses for JENNICA LISETTE ROSA (NP-C)

  • 1210 TACOMA AVE S APT 303

    TACOMA, WA 984022020

    Phone: (210) 906-9658

    Type: Mailing

  • 110, Andorra Drive, Coronado Village, Universal City, Bexar County, Texas, 78148, United States

    UNIVERSAL CITY, TX 781483302

    Phone: (210) 906-9658

    Type: Mailing

  • Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States

    FORT SAM HOUSTON, TX 782344504

    Phone: (210) 906-9658

    Type: Location

  • 3551 Roger Brooke Dr

    Fort Sam Houston, TX 782344504

    Phone: (210) 906-9658

    Type: Location

  • 5046 N HIGHLAND ST

    RUSTON, WA 984073118

    Phone: (210) 906-9658

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $543.

Total Amount is formed as General ($543) + Research ($0) + Ownership ($0) = $543.

Last reported payment date: 2024-08-23 • Largest payer in this snapshot: ABBVIE INC. ($518).

Total Amount

$543

General + Research + Ownership

Payments

7

Total payment records

General Amount

$543

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-23

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2019-12-20

PECOS data refreshed: 2026-05-27

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 98402)

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Reviews

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Frequently asked questions

Can I use this page to confirm JENNICA LISETTE ROSA (NP-C)'s NPI?
Yes. JENNICA LISETTE ROSA (NP-C) is listed with NPI 1174089965 in the public NPI dataset.
Does the file indicate JENNICA LISETTE ROSA (NP-C) is practicing under active NPI?
Directory data currently reports JENNICA LISETTE ROSA (NP-C) as active.
What taxonomy line describes JENNICA LISETTE ROSA (NP-C)?
For research purposes, treat JENNICA LISETTE ROSA (NP-C) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JENNICA LISETTE ROSA (NP-C)?
JENNICA LISETTE ROSA (NP-C)'s geographic hint is Tacoma, Washington in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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