Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNICA LISETTE ROSA NP-C
NPI 1174089965
Nurse Practitioner - Family in Fircrest, WA

Q: What is Jennica Rosa's NPI number?

The NPI number for Jennica Rosa is 1174089965. It was assigned to this individual provider in the NPPES registry on February 16, 2019.

Q: What is Jennica Rosa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jennica Rosa was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.

Active since February 16, 2019PECOS Enrolled

1215 REGENTS BLVD STE 2A, FIRCREST, WA 98466(253) 343-4013 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 24, 2026, Sep 9, 2024, Feb 20, 2023 and 2 more (5 updates tracked since 2019).

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About Jennica Lisette Rosa Np-c NPPES

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

JENNICA LISETTE ROSA NP-C (NPI 1174089965) is an individual family provider in Fircrest, Washington, licensed in Washington (AP61341503) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174089965

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNICA LISETTE ROSACredential: NP-C

Location Address1215 REGENTS BLVD STE 2AFircrest, WA 98466-6061

Mailing Address3610 Bridgeport Way W Apt 501University Place, WA 98466-4344 · (210) 906-9658

Phone(253) 343-4013

Sole ProprietorNo

Enumeration DateFebruary 16, 2019

Last NPPES UpdateJuly 24, 20265 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1174089965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in WA · AP61341503✔ Licensed in TX · AP140646

1215 REGENTS BLVD STE 2A, Fircrest, WA 98466

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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)

Jennica Lisette Rosa Np-c 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 98466 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 NPPES & CMS

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

What is Jennica Rosa's NPI number?

The NPI number for Jennica Rosa is 1174089965. It was assigned to this individual provider in the NPPES registry on February 16, 2019.

Where is Jennica Rosa located?

Jennica Rosa practices at 1215 Regents Blvd Ste 2A, Fircrest, WA 98466. The listed phone number is (253) 343-4013.

What is Jennica Rosa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennica Rosa enrolled in Medicare?

Yes. Jennica Rosa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennica Rosa was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.