Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kessiah Serena Rosario

Individual provider Family Nurse Practitioner · NPI 1548148422

Kessiah Serena Rosario is a Nurse Practitioner in White Bear Lake, Minnesota. Qualified in 2024, 2 years ago. Practices with Vitality NP Group LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2025

Practice location Address checks out

2214 5th St Ste 5
White Bear Lake, MN 55110-3039
Phone: (833) 946-4436
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP031319 (PA)

Record details

NPI number1548148422
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 26, 2025
Last updated in NPPESAugust 26, 2025
Certification dateAugust 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Vitality Np Group Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in White Bear Lake