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ROSANNY TAVERA
NPI 1104660703
Nurse Practitioner - Family in Deland, FL

Active since June 20, 2024PECOS Enrolled
1287 WOODLINE DR, DELAND, FL 32720(407) 637-4846 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 14, 2026, Jun 20, 2024 (2 updates tracked since 2024).

About Rosanny Tavera NPPES

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

ROSANNY TAVERA (NPI 1104660703) is an individual family provider in Deland, Florida, licensed in New York (F356229-01) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104660703
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROSANNY TAVERA
Location Address1287 WOODLINE DRDeland, FL 32720-6554
Mailing Address1287 Woodline DrDeland, FL 32720-6554 · (407) 637-4846
Phone(407) 637-4846
Sole ProprietorYes
Enumeration DateJune 20, 2024
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1104660703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · F356229-01✔ Licensed in FL · 11031783
Also ListedRegistered NurseTaxonomy 163W00000X · License 765301 (NY), 9507718 (FL)
1287 WOODLINE DR, Deland, FL 32720
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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)

Rosanny Tavera 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

What is Rosanny Tavera's NPI number?

The NPI number assigned to this healthcare provider is 1104660703, enumerated as an "individual" on June 20, 2024.

Where is the provider located?

The provider is located at 1287 WOODLINE DR DELAND, FL 32720 and the phone number is (407) 637-4846.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.