Nicole E Rose, in Mishawaka, IN - Medicare Nurse Practitioner

Nicole E Rose, is a medicare enrolled "Nurse Practitioner - Family" in Mishawaka, Indiana. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kidney Care Of Michiana Llc and her current practice location is 5314 Lincolnway E, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 584-2812.

Nicole E Rose is licensed to practice in Indiana (license number 71010889A) 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 1922697572.

Contact Information

	Nicole E Rose,
	5314 Lincolnway E, Mishawaka, IN 46544-4249
	(574) 584-2812
	(574) 584-2813

Map and Direction

Provider's Profile

Full Name	Nicole E Rose
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	5314 Lincolnway E, Mishawaka, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole E Rose graduated from nursing school in 2020

NPI Data:

NPI Number: 1922697572
Provider Enumeration Date: 01/18/2021
Last Update Date: 01/26/2024

Medicare PECOS Information:

PECOS PAC ID: 3072929355
Enrollment ID: I20210311000680

Medical Identifiers

Medical identifiers for Nicole E Rose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922697572	NPI	-	NPPES
300047896	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71010889A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Joseph Regional Medical Center - Plymouth	Plymouth, IN	Hospital
Saint Joseph Regional Medical Center	Mishawaka, IN	Hospital
Elkhart General Hospital	Elkhart, IN	Hospital
Lakeland Hospital, St Joseph	St joseph, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kidney Care Of Michiana Llc	7810149309	6

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. Nicole E Rose allows following entities to bill medicare on her behalf.

Entity Name	Kidney Care Of Michiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093067530 PECOS PAC ID: 7810149309 Enrollment ID: O20121207000347

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. Nicole E Rose 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 Address	Practice Location Address
Nicole E Rose, 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-6592	Nicole E Rose, 5314 Lincolnway E, Mishawaka, IN 46544-4249 Ph: (574) 584-2812

Reviews and Comments

Nurse Practitioner Nurses in Mishawaka, IN

Kyla M Schauss, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 W Mckinley Ave Ste D, Mishawaka, IN 46545 Phone: 574-282-3230 Fax: 574-282-3240
Teresa Marie Dobrzykowski, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 800-635-5516
Amy Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000
Mrs. Oluyinka Grace Osunnuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 765-674-3321
Shea Lee Warner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-4700
Mrs. Blair Renee Herrman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556
Juanita Marie Roberts, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1625 E Jefferson Blvd, Mishawaka, IN 46545 Phone: 574-255-1400

Nicole E Rose, - Medicare Nurse Practitioner in Mishawaka, IN