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Deactivated NPI 1962271502 Deactivated / Inactive NPI Female Practitioner

Krystal Kay Roelse , MSN APRN-FNP-C

Nurse Practitioner • West Melbourne, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Krystal Roelse has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 22, 2023
NPI Deactivation Date April 03, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Krystal Roelse, MSN APRN-FNP-C was a registered Nurse Practitioner practicing in West Melbourne, FL. Throughout an active medical career spanning 1 years, Krystal Roelse provided care at the practice location at 765 BOUGHTON WAY until profile deactivation on 2024-04-03.

Practice Location & Contact Primary Location

Practice Address

765 Boughton Way

West Melbourne, FL 329048721

Telephone 9204275250

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in West Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
5 Specialists

Practicing in West Melbourne, FL (8990 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11030323

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 03, 2024

Record deactivated on April 03, 2024

NPI Profile Active December 22, 2023

NPI status registered as active in NPPES database

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Updated Practice Location December 22, 2023

Registered at 765 BOUGHTON WAY, WEST MELBOURNE, FL 329048721 (Tel: 9204275250)

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Updated Business Mailing Address December 22, 2023

Registered at 765 BOUGHTON WAY, WEST MELBOURNE, FL 329048721 (Tel: 9204275250)

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Provider Name / Credentials Updated December 22, 2023

Recorded as KRYSTAL ROELSE, MSN APRN-FNP-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2023

Nurse Practitioner (License #APRN11030323 in FL)

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Initial NPI Registration & Enumeration December 22, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962271502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2023
Last Update: December 22, 2023
Deactivation Date: April 03, 2024

Mailing Address

765 Boughton Way

West Melbourne, FL 329048721

Phone: 9204275250

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.