ROSE FAMILY HEALTHCARE, LLC
NPI 1033925342
Clinic/Center - Primary Care in Niceville, FL

Active since December 10, 2024CLIA 10D2318965 · Waiver
4400 E HIGHWAY 20 STE 207, NICEVILLE, FL 32578(850) 806-2440 Get Directions Write a Review

NPPES record last updated: August 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rose Family Healthcare, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE FAMILY HEALTHCARE, LLC (NPI 1033925342) is a healthcare organization registered as a primary care in Niceville, Florida and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through February 20, 2027 and lists Susan M Wagner, Owner, as its authorized official.

NPPES Registry Identity

NPI1033925342
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameROSE FAMILY HEALTHCARE, LLC
Location Address4400 E HIGHWAY 20 STE 207Niceville, FL 32578-7700
Mailing Address4400 E Highway 20 Ste 207Niceville, FL 32578-7700 · (850) 806-2440
Organization SubpartNo
Authorized OfficialSusan M WagnerOwner · (850) 806-2440
Enumeration DateDecember 10, 2024
Last NPPES UpdateAugust 3, 2025
NPPES CertifiedAugust 3, 2025
✔ NPI 1033925342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/CenterTaxonomy 261Q00000X
4400 E HIGHWAY 20 STE 207, Niceville, FL 32578

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rose Family Healthcare, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rose Family Healthcare, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1811514722
4400 E HIGHWAY 20 STE 207
Niceville, FL 32578
(850) 806-2440
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2318965

Rose Family Healthcare LLC · Niceville, FL
Active · expires Feb 20, 2027
CLIA Number10D2318965
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorSusan M. Wagner
Laboratory Phone(850) 806-2440
Laboratory LocationRose Family Healthcare LLC4400 E Hwy 20 Suites 205/207, Niceville, FL 32578
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose Family Healthcare, LLC's NPI number?

The NPI number for Rose Family Healthcare, LLC is 1033925342. It was assigned to this organization in the NPPES registry on December 10, 2024.

Where is Rose Family Healthcare, LLC located?

Rose Family Healthcare, LLC is located at 4400 E Highway 20 Ste 207, Niceville, FL 32578. The listed phone number is (850) 806-2440.

What is Rose Family Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Rose Family Healthcare, LLC enrolled in Medicare?

Yes. Rose Family Healthcare, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rose Family Healthcare, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Rose Family Healthcare, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rose Family Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2318965) is associated with this NPI, valid through February 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rose Family Healthcare, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Rose Family Healthcare, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rose Family Healthcare, LLC was last updated on August 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.