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ROSELYN JAN WUTHRICH CLEMENTE FUENTES M.D.
NPI 1699093781
Family Medicine in Hurlburt Field, FL

Active since May 13, 2010PECOS Enrolled
24TH SOW/STTS ANNEX BUILDING, 301 TULLY ST, HURLBURT FIELD, FL 32544(850) 884-3902 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2023, Sep 22, 2022, Apr 26, 2018 (3 updates tracked since 2018).

About Roselyn Jan Wuthrich Clemente Fuentes M.d. NPPES

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

ROSELYN JAN WUTHRICH CLEMENTE FUENTES M.D. (NPI 1699093781) is an individual family medicine provider in Hurlburt Field, Florida, licensed in Florida (ME118266) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699093781
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameROSELYN JAN WUTHRICH CLEMENTE FUENTESCredential: M.D.
Location Address24TH SOW/STTS ANNEX BUILDING, 301 TULLY STHurlburt Field, FL 32544
Mailing Address24th Sow/stts Annex Building, 301 Tully StHurlburt Field, FL 32544
Phone(850) 884-3902
Sole ProprietorNo
Enumeration DateMay 13, 2010
Last NPPES UpdateJune 20, 20233 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1699093781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME118266✔ Licensed in NE · 26386
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
24TH SOW/STTS ANNEX BUILDING, Hurlburt Field, FL 32544
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Other Names 1

Former Name (1)Roselyn Jan Wuthrich Clemente

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roselyn Jan Wuthrich Clemente Fuentes M.d. 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 32544 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 Roselyn Jan Clemente Fuentes's NPI number?

The NPI number for Roselyn Jan Clemente Fuentes is 1699093781. It was assigned to this individual provider in the NPPES registry on May 13, 2010. The provider is also known as Roselyn Jan Wuthrich Clemente.

Where is Roselyn Jan Clemente Fuentes located?

Roselyn Jan Clemente Fuentes practices at 24th Sow/Stts Annex Building 301 Tully St, Hurlburt Field, FL 32544. The listed phone number is (850) 884-3902.

What is Roselyn Jan Clemente Fuentes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Roselyn Jan Clemente Fuentes enrolled in Medicare?

Yes. Roselyn Jan Clemente Fuentes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roselyn Jan Clemente Fuentes was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.