Rosa Maria Portillo, FNP-C - Medicare Nurse Practitioner in Minot, ND

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Rosa Maria Portillo, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Minot, North Dakota. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Legacy Health Clinic and her current practice location is 1324 20th Ave Sw # 1, Minot, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 838-6000.

Rosa Maria Portillo is licensed to practice in North Dakota (license number 200494) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639951528.

Contact Information

Rosa Maria Portillo, FNP-C
1324 20th Ave Sw # 1,
Minot, ND 58701-6452
(701) 838-6000
(701) 838-6624

Map and Direction




Provider's Profile

Full NameRosa Maria Portillo
GenderFemale
SpecialityNurse Practitioner
Experience2 Years
Location1324 20th Ave Sw # 1, Minot, North Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rosa Maria Portillo graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1639951528
  • Provider Enumeration Date: 10/16/2023
  • Last Update Date: 10/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5395192835
  • Enrollment ID: I20241016001218

Medical Identifiers

Medical identifiers for Rosa Maria Portillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639951528NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN11029002 (Florida)Secondary
363LF0000XNurse Practitioner - Family 200494 (North Dakota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Health Clinic78103918284

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rosa Maria Portillo allows following entities to bill medicare on her behalf.
Entity NameLegacy Health Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598340358
PECOS PAC ID: 7810391828
Enrollment ID: O20210812000412

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rosa Maria Portillo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rosa Maria Portillo, FNP-C
1324 20th Ave Sw # 1,
Minot, ND 58701-6452

Ph: (469) 583-0709		Rosa Maria Portillo, FNP-C
1324 20th Ave Sw # 1,
Minot, ND 58701-6452

Ph: (701) 838-6000

Reviews and Comments


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Mrs. Pamela Lacey Leuschen, APRN, FNP-C
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Cathleen Hoffman,
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Phone: 701-587-9377    Fax: 855-710-6617

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.