ROSA MARIA PORTILLO FNP-C
NPI 1639951528
Nurse Practitioner - Family in Pembroke Pines, FL

Q: What is Rosa Portillo's NPI number?

The NPI number for Rosa Portillo is 1639951528. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Q: What is Rosa Portillo'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 Rosa Portillo was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 16, 2023PECOS Enrolled

880 SW 145TH AVE STE 202, PEMBROKE PINES, FL 33027(866) 849-0692 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 6, 2026, May 18, 2026, May 11, 2026 and 7 more (10 updates tracked since 2023).

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About Rosa Maria Portillo Fnp-c NPPES

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

ROSA MARIA PORTILLO FNP-C (NPI 1639951528) is an individual family provider in Pembroke Pines, Florida, licensed in North Dakota (200494) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639951528

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameROSA MARIA PORTILLOCredential: FNP-C

Location Address880 SW 145TH AVE STE 202Pembroke Pines, FL 33027-6171

Mailing Address1324 20th Ave Sw # 1Minot, ND 58701-6452 · (469) 583-0709

Phone(866) 849-0692

Sole ProprietorNo

Enumeration DateOctober 16, 2023

Last NPPES UpdateJuly 6, 202610 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1639951528 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 ND · 200494✔ Licensed in NE · 116818✔ Licensed in CO · C-APN.0106626-C-NP✔ Licensed in GA · GAA-NP005051✔ Licensed in OK · 228463✔ Licensed in NM · 89332✔ Licensed in IA · A190615✔ Licensed in VA · 0024196913✔ Licensed in FL · APRN11029002✔ Licensed in TN · 41920

880 SW 145TH AVE STE 202, Pembroke Pines, FL 33027

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Oscar Health, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rosa Maria Portillo Fnp-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.

Medicare Billing Reassignments

Medicare enrollment records show Rosa Portillo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Institute Of Endocrinology Diabetes Health And Hormones

435 mi

Endocrinology, Diabetes & Metabolism

633 E BALDWIN RD
Panama City, FL 32405

Reassigned Medicare billing, Florida enrollment
39 clinicians in this Medicare group

NPI 1376951541 (850) 522-5490

Legacy Health Clinic

1,907 mi

Clinic/Center

1603 35TH AVE SW
Minot, ND 58701

Reassigned Medicare billing, North Dakota enrollment
8 clinicians in this Medicare group

NPI 1598340358 (701) 838-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

138 services93 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

29 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33027 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

ALEC PETERSEN

Internal Medicine