1. Home
  2. Directory
  3. Minnesota
  4. White Bear Lake
  5. Nurse Practitioner
  6. NPI Profile

KESSIAH SERENA ROSARIO
NPI 1548148422
Nurse Practitioner - Family in White Bear Lake, MN

Active since August 26, 2025PECOS EnrolledAccepts Medicare Assignment
2214 5TH ST STE 5, WHITE BEAR LAKE, MN 55110(833) 946-4436 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kessiah Serena Rosario NPPES

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

KESSIAH SERENA ROSARIO (NPI 1548148422) is an individual family provider in White Bear Lake, Minnesota, licensed in Pennsylvania (SP031319) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1548148422
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKESSIAH SERENA ROSARIO
Location Address2214 5TH ST STE 5White Bear Lake, MN 55110-3039
Mailing Address1058 Fawnridge DrNewfoundland, PA 18445-7736 · (610) 390-7563
Phone(833) 946-4436
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 26, 2025
NPPES CertifiedAugust 15, 2025
✔ NPI 1548148422 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
License✔ Licensed in PA · SP031319
2214 5TH ST STE 5, White Bear Lake, MN 55110
Open in Google Maps ↗

Other Names 1

Former Name (1)Kessiah Roland

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

Kessiah Serena Rosario 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 ID6204323660
PECOS Enrollment IDI20251017002454
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 55110 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

ZINKEL MD PC
Durable Medical Equipment & Medical Supplies
2214 5TH ST STE 5
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 216-3664
GEM HEALTH SPECIALTY SLEEP SERVICES OF DELAWARE PA
Durable Medical Equipment & Medical Supplies
2214 5TH ST STE 5
WHITE BEAR LAKE, MN 55110
Ramsey County (833) 946-4436
GEM HEALTH SPECIALTY SLEEP SERVICES OF TEXAS PA
Durable Medical Equipment & Medical Supplies
2214 5TH ST STE 5
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 216-3664
GEM HEALTH SPECIALTY SLEEP SERVICES OF TEXAS PA
Clinic/Center (Sleep Disorder Diagnostic)
2214 5TH ST STE 5
WHITE BEAR LAKE, MN 55110
Ramsey County (612) 462-6222
GEM HEALTH SPECIALTY SLEEP SERVICES OF COLORADO, P.C.
Clinic/Center (Sleep Disorder Diagnostic)
2214 5TH ST STE 5
WHITE BEAR LAKE, MN 55110
Ramsey County (612) 462-6222
GEM HEALTH SPECIALTY SLEEP SERVICES OF MICHIGAN, P.C.
Clinic/Center (Sleep Disorder Diagnostic)
2214 5TH ST STE 5
WHITE BEAR LAKE, MN 55110
Ramsey County (833) 946-4436
GEM HEALTH SPECIALTY SLEEP SERVICES OF NEW JERSEY PC
Durable Medical Equipment & Medical Supplies
2214 5TH ST STE 5
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 216-3664
ZINKEL MD PC
Clinic/Center (Sleep Disorder Diagnostic)
2214 5TH ST STE 5
WHITE BEAR LAKE, MN 55110
Ramsey County (612) 462-6222

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 Kessiah Rosario's NPI number?

The NPI number for Kessiah Rosario is 1548148422. It was assigned to this individual provider in the NPPES registry on August 26, 2025. The provider is also known as Kessiah Roland.

Where is Kessiah Rosario located?

Kessiah Rosario practices at 2214 5th St Ste 5, White Bear Lake, MN 55110. The listed phone number is (833) 946-4436.

What is Kessiah Rosario's specialty?

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

Is Kessiah Rosario enrolled in Medicare?

Yes. Kessiah Rosario 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 Kessiah Rosario was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.