| Miranda E Rosebrook, APRN-CNP | |
| 
					452 W 10th Ave Fl 1, Columbus, OH 43210-1240  | |
| (614) 293-5502 | |
| (614) 293-7221 | 
| Full Name | Miranda E Rosebrook | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Acute Care | 
| Location | 452 W 10th Ave Fl 1, Columbus, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184490955 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.0035456 (Ohio) | Primary | 
| 363L00000X | Nurse Practitioner | APRN.CNP.0035456 (Ohio) | Secondary | 
| Entity Name | Mercy Health Physicians Lima Specialty Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Miranda E Rosebrook, APRN-CNP 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (614) 293-5502  | Miranda E Rosebrook, APRN-CNP 452 W 10th Ave Fl 1, Columbus, OH 43210-1240 Ph: (614) 293-5502  | 
Ms. Kimberly Gaye Cyphert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 South Grant Avenue, Columbus, OH 43215 Phone: 614-566-9221 Fax: 614-566-8738  | |
Purvi K Patel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 Easton Cmns Ste 125, Columbus, OH 43219 Phone: 847-386-7744  | |
Amy Elizabeth Pietragallo, RN, MSN, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 181 Taylor Ave, Columbus, OH 43203 Phone: 614-293-7677 Fax: 614-293-2867  | |
Megan Lottes, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2160 N High St, Columbus, OH 43201 Phone: 866-389-2727 Fax: 401-652-9787  | |
Ashley Degutis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1560 S High St, Columbus, OH 43207 Phone: 614-274-1455 Fax: 614-274-1433  | |
Paige Kaple,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6001 E Broad St, Columbus, OH 43213 Phone: 614-234-6000  | |
Maria Streng,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000  |