Brandi N Rose, FNP-C - Medicare Nurse Practitioner in Fulton, KY

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Brandi N Rose, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fulton, Kentucky. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pinelake Physician Practice Llc, Dyersburg Family Walk-in Clinic, Pinelake Physician Practice Llc and her current practice location is 101 Main St, Fulton, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 472-5245.

Brandi N Rose is licensed to practice in Kentucky (license number 4015211) 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 1437540200.

Contact Information

Brandi N Rose, FNP-C
101 Main St,
Fulton, KY 42041-1601
(270) 472-5245
(270) 472-5249

Map and Direction




Provider's Profile

Full NameBrandi N Rose
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location101 Main St, Fulton, Kentucky
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:
  • Brandi N Rose graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1437540200
  • Provider Enumeration Date: 02/13/2015
  • Last Update Date: 08/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840519443
  • Enrollment ID: I20150504000598

Medical Identifiers

Medical identifiers for Brandi N Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437540200NPI-NPPES
4015211OtherKYNP LICENSE KY
7100965780MedicaidKY
19671OtherTNNP LICENSE - TN
158274OtherTNRN LICENSE
Q012535MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 19671 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 4015211 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lifeline Home Health Care Of FultonFulton, KYHome health agency
Jackson Purchase Medical CenterMayfield, KYHospital
Baptist Memorial Hospital Union CityUnion city, TNHospital
Volunteer Community HospitalMartin, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pinelake Physician Practice Llc680079750738
Dyersburg Family Walk-in Clinic599179387920
Pinelake Physician Practice Llc680079750738

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. Brandi N Rose allows following entities to bill medicare on her behalf.
Entity NameDyersburg Family Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174712780
PECOS PAC ID: 5991793879
Enrollment ID: O20040501000299
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112
Entity NameStern Cardiovascular Foundation, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316242266
PECOS PAC ID: 8123200540
Enrollment ID: O20110310000278

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. Brandi N 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 AddressPractice Location Address
Brandi N Rose, FNP-C
101 Main St,
Fulton, KY 42041-1601

Ph: (270) 472-5245		Brandi N Rose, FNP-C
101 Main St,
Fulton, KY 42041-1601

Ph: (270) 472-5245

Reviews and Comments


Nurse Practitioner Nurses in Fulton, KY

Emily Rose Jones, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2006 Holiday Ln, Fulton, KY 42041
Phone: 270-413-1001    Fax: 270-413-1003
Ms. Judy Noreen Smith, FNPC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2006 Holiday Ln, Suite 100, Fulton, KY 42041
Phone: 270-472-1612    Fax: 270-472-2095

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.