KELLEY ANN ROSEBROCK FNP
NPI 1376682195
Nurse Practitioner - Family in Fort Mill, SC

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
704 GOLD HILL RD, SUITE 1200, FORT MILL, SC 29715(704) 667-3380(704) 667-3381 Get Directions Write a Review

NPPES record last updated: February 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2017, Jan 5, 2017 (2 updates tracked since 2017).

About Kelley Ann Rosebrock Fnp NPPES

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

KELLEY ANN ROSEBROCK FNP (NPI 1376682195) is an individual family provider in Fort Mill, South Carolina, licensed in South Carolina (19252) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1376682195
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLEY ANN ROSEBROCKCredential: FNP
Location Address704 GOLD HILL RD, SUITE 1200Fort Mill, SC 29715-8906
Mailing AddressPo Box 602148Charlotte, NC 28260-2148 · (704) 667-3380 · Fax (704) 667-3381
Fax(704) 667-3381
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 6, 2007
Last NPPES UpdateFebruary 22, 20172 updates tracked since enumeration
NPI 1376682195 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 SC · 19252 Licensed in NC · 0050-02423
Also ListedNurse PractitionerTaxonomy 363L00000X · License 19252 (SC), 212050 (NC)
704 GOLD HILL RD, Fort Mill, SC 29715

Other Identifiers 11

Medicare PINNCA410ENC
Medicare PINNCA410CNC
MedicaidNP1197SC
Medicare PINNCA410DNC
Medicaid7004104NC
Medicare PINNCA410FNC
Medicare PIN2593163NC
Medicaid1376682195NC
Medicare PINNCA410BNC
Medicare PINNCA410ANC
Medicare PINSC57877772SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelley Ann Rosebrock Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214013184
PECOS Enrollment IDI20150625001508
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
135 services132 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
105 services104 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29715 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

Pediatrics
704 GOLD HILL RD, SUITE 207
FORT MILL, SC 29715
Nurse Practitioner
704 GOLD HILL RD, STE 207
FORT MILL, SC 29715
Family Medicine
704 GOLD HILL RD
FORT MILL, SC 29715
Nurse Practitioner (Family)
704 GOLD HILL RD, STE 1200
FORT MILL, SC 29715
Family Medicine
704 GOLD HILL RD
FORT MILL, SC 29715
Nurse Practitioner
704 GOLD HILL RD
FORT MILL, SC 29715
Pediatrics
704 GOLD HILL RD, STE 207
FORT MILL, SC 29715
Pediatrics
704 GOLD HILL RD, STE 207
FORT MILL, SC 29715

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 Kelley Rosebrock's NPI number?

The NPI number for Kelley Rosebrock is 1376682195. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Kelley Rosebrock located?

Kelley Rosebrock practices at 704 Gold Hill Rd Suite 1200, Fort Mill, SC 29715. The listed phone number is (704) 667-3380.

What is Kelley Rosebrock's specialty?

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

Is Kelley Rosebrock enrolled in Medicare?

Yes. Kelley Rosebrock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelley Rosebrock was last updated on February 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.