LORENA C DE LA ROSA FNP-C
NPI 1689124752
Nurse Practitioner - Family in Minnetonka, MN

Active since October 12, 2016PECOS Enrolled
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343(480) 216-1993 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 25, 2020, Mar 17, 2018, Nov 13, 2017 and 2 more (5 updates tracked since 2016).

About Lorena C De La Rosa Fnp-c NPPES

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

LORENA C DE LA ROSA FNP-C (NPI 1689124752) is an individual family provider in Minnetonka, Minnesota, licensed in Arizona (AP10469) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689124752
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLORENA C DE LA ROSACredential: FNP-C
Location Address9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213Minnetonka, MN 55343
Mailing AddressPo Box 1459Minneapolis, MN 55440-1459 · (478) 538-0908
Sole ProprietorNo
Enumeration DateOctober 12, 2016
Last NPPES UpdateJune 25, 20205 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1689124752 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 AZ · AP10469✔ Licensed in TX · AP132170
9900 BREN ROAD EAST, Minnetonka, MN 55343

Other Identifiers 1

Medicaid296548AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lorena C De La Rosa 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

4

Medicare enrollment records show Lorena De La Rosa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
4400 BUFFALO GAP RD FL 1
Abilene, TX 79606
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Regional Physician Services Of Texas PA
  • 396 clinicians in this Medicare group
1,265 mi
Family Medicine
7500 N DREAMY DRAW DR STE 100
Phoenix, AZ 85020
  • Reassigned Medicare billing, Nevada enrollment
  • 31 clinicians in this Medicare group
Nurse Practitioner
4041 S MCCLINTOCK DR STE 302
Tempe, AZ 85282
  • Reassigned Medicare billing, Arizona enrollment
  • 67 clinicians in this Medicare group
Pediatrics
521 W THOMAS RD, 2ND FLOOR
Phoenix, AZ 85013
  • Reassigned Medicare billing, Arizona enrollment
  • 7 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55343 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.

Nurse Practitioner (Family)
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213
MINNETONKA, MN 55343
Nurse Practitioner (Adult Health)
9900 BREN ROAD EAST
MINNETONKA, MN 55343
Nurse Practitioner (Family)
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213
MINNETONKA, MN 55343
Nurse Practitioner (Family)
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213
MINNETONKA, MN 55343
Nurse Practitioner
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213
MINNENTONKA, MN 55343
Nurse Practitioner
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213
MINNETONKA, MN 55343
Nurse Practitioner (Family)
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213
MINNETONKA, MN 55343
Nurse Practitioner (Family)
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213
MINNETONKA, MN 55343

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 Lorena De La Rosa's NPI number?

The NPI number for Lorena De La Rosa is 1689124752. It was assigned to this individual provider in the NPPES registry on October 12, 2016.

Where is Lorena De La Rosa located?

Lorena De La Rosa practices at 9900 Bren Road East Mail Route Mn 008-B213, Minnetonka, MN 55343. The listed phone number is (480) 216-1993.

What is Lorena De La Rosa's specialty?

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

Is Lorena De La Rosa enrolled in Medicare?

Yes. Lorena De La Rosa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lorena De La Rosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lorena De La Rosa reassigns Medicare benefits to 4 organizations: Regional Physician Services Of Texas, P.A. (Abilene, TX), Adobe Ph PC (Phoenix, AZ), Adobe Provider Group (Tempe, AZ) and Kids Kare Pediatrics PC (Phoenix, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lorena De La Rosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lorena De La Rosa was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.