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JAKE MICHAEL ROUSE DO
NPI 1063105096
Military Health Care Provider in Jacksonville, FL

Active since May 26, 2023PECOS Enrolled
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214(904) 610-5253 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2024, May 26, 2023 (2 updates tracked since 2023).

About Jake Michael Rouse Do NPPES

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

JAKE MICHAEL ROUSE DO (NPI 1063105096) is an individual military health care provider provider in Jacksonville, Florida and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063105096
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameJAKE MICHAEL ROUSECredential: DO
Location Address2080 CHILD ST DEPT 5000Jacksonville, FL 32214-5000
Mailing Address2080 Child St Dept 5000Jacksonville, FL 32214-5000
Phone(904) 610-5253
Sole ProprietorNo
Enumeration DateMay 26, 2023
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1063105096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
2080 CHILD ST DEPT 5000, Jacksonville, FL 32214
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jake Michael Rouse Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE ALICIA COY DNP
Nurse Anesthetist, Certified Registered
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
VAHIDEH YOUSEFI DE60505442
Dentist (General Practice)
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 546-7130
ISABELLA A FREGOSO RPH, PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
BRADLEY RANDALL WINTERS
Military Health Care Provider
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
ESTHER ALAKIJA DO
Military Health Care Provider
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. NICHOLAS NATHAN SWEET D.O.
Radiology (Diagnostic Radiology)
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7744
AARON B. SUMNER MD, JD, LT USN MC
General Practice
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. ERIKA BISKIE MARCHESE PSY.D.
Psychologist (Clinical)
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Duval County (904) 546-6351

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 Jake Rouse's NPI number?

The NPI number for Jake Rouse is 1063105096. It was assigned to this individual provider in the NPPES registry on May 26, 2023.

Where is Jake Rouse located?

Jake Rouse practices at 2080 Child St Dept 5000, Jacksonville, FL 32214. The listed phone number is (904) 610-5253.

What is Jake Rouse's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Is Jake Rouse enrolled in Medicare?

Yes. Jake Rouse is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jake Rouse was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.