MS. ROSE B. SHAFFER CRNP
NPI 1053585562
Nurse Practitioner - Acute Care in Philadelphia, PA

Active since April 15, 2008PECOS Enrolled
111 S 11TH ST, ROOM 1900 GIBBON, PHILADELPHIA, PA 19107(215) 955-8408(215) 955-8966 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2020, Oct 13, 2016 (2 updates tracked since 2016).

About Ms. Rose B. Shaffer Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ROSE B. SHAFFER CRNP (NPI 1053585562) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (TP004716P) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053585562
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. ROSE B. SHAFFERCredential: CRNP
Location Address111 S 11TH ST, ROOM 1900 GIBBONPhiladelphia, PA 19107-4824
Mailing Address111 S 11th St Rm 5480gPhiladelphia, PA 19107-4824 · (215) 955-8408 · Fax (215) 503-7784
Fax(215) 955-8966
Sole ProprietorNo
Enumeration DateApril 15, 2008
Last NPPES UpdateJune 16, 20202 updates tracked since enumeration
NPPES CertifiedJune 16, 2020
NPI 1053585562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in PA · TP004716P
111 S 11TH ST, Philadelphia, PA 19107

Other Identifiers 1

Medicaid103144230PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Rose B. Shaffer Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Nurse Practitioner (Acute Care)
111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
111 S 11TH ST
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107
Nurse Anesthetist, Certified Registered
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose Shaffer's NPI number?

The NPI number for Rose Shaffer is 1053585562. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Where is Rose Shaffer located?

Rose Shaffer practices at 111 S 11th St Room 1900 Gibbon, Philadelphia, PA 19107. The listed phone number is (215) 955-8408.

What is Rose Shaffer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Rose Shaffer enrolled in Medicare?

Yes. Rose Shaffer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rose Shaffer was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.