Jennica Lisette Rosa, NP-C - Medicare Nurse Practitioner in Ruston, WA

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Jennica Lisette Rosa, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Ruston, Washington. Her current practice location is 5046 N Highland St, Ruston, Washington. You can reach out to her office (for appointments etc.) via phone at (210) 906-9658.

Jennica Lisette Rosa is licensed to practice in Washington (license number AP61341503) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174089965.

Contact Information

Jennica Lisette Rosa, NP-C
5046 N Highland St,
Ruston, WA 98407-3118
(210) 906-9658
Not Available

Map and Direction




Provider's Profile

Full NameJennica Lisette Rosa
GenderFemale
SpecialityNurse Practitioner - Family
Location5046 N Highland St, Ruston, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174089965
  • Provider Enumeration Date: 02/16/2019
  • Last Update Date: 09/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3577997766
  • Enrollment ID: I20191220002082

Medical Identifiers

Medical identifiers for Jennica Lisette Rosa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174089965NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP140646 (Texas)Secondary
363LF0000XNurse Practitioner - Family AP61341503 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennica Lisette Rosa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennica Lisette Rosa, NP-C
1210 Tacoma Ave S Apt 303,
Tacoma, WA 98402-2020

Ph: (210) 906-9658		Jennica Lisette Rosa, NP-C
5046 N Highland St,
Ruston, WA 98407-3118

Ph: (210) 906-9658

Reviews and Comments


Nurse Practitioner Nurses in Ruston, WA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.