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KELLEY ANN ROSEBROCK FNP NPI 1376682195


NPI Information

NPI: 1376682195
Provider Name: KELLEY ANN ROSEBROCK, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
704 GOLD HILL RD
SUITE 1200
FORT MILL, SC
ZIP 29715
Phone: (704) 667-3380
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Kelley Ann Rosebrock, FNP is a family nurse practitioner in Fort Mill, SC with 18 years of experience. Kelley Ann Rosebrock, FNP NPI is 1376682195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

704 GOLD HILL RD
SUITE 1200
FORT MILL, SC
ZIP 29715-906
Phone: (704) 667-3380
Fax: (704) 667-3381

The NPI 1376682195 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)

The enumeration date for this NPI number is 2/6/2007 and was last updated on 2/22/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner19252SOUTH CAROLINANo
2363L00000XNurse Practitioner212050NORTH CAROLINANo
3363LF0000XNurse PractitionerFamily19252SOUTH CAROLINAYes
4363LF0000XNurse PractitionerFamily0050-02423NORTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NCA410EMEDICARE PINNORTH CAROLINA
2NCA410CMEDICARE PINNORTH CAROLINA
3NP1197MEDICAIDSOUTH CAROLINA
4NCA410DMEDICARE PINNORTH CAROLINA
57004104MEDICAIDNORTH CAROLINA
6NCA410FMEDICARE PINNORTH CAROLINA
72593163MEDICARE PINNORTH CAROLINA
81376682195MEDICAIDNORTH CAROLINA
9NCA410BMEDICARE PINNORTH CAROLINA
10NCA410AMEDICARE PINNORTH CAROLINA
11SC57877772MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.