Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROSE JACQUELINE MCNULTY MD
NPI 1063041432
Radiology - Diagnostic Radiology in Charlotte, NC

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment
3623 LATROBE DR STE 216, CHARLOTTE, NC 28211(704) 332-1291 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 13, 2026, May 28, 2025, May 5, 2025 and 3 more (6 updates tracked since 2020).

About Rose Jacqueline Mcnulty Md NPPES

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

ROSE JACQUELINE MCNULTY MD (NPI 1063041432) is an individual diagnostic radiology provider in Charlotte, North Carolina, licensed in North Carolina (2024-01624) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1063041432
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameROSE JACQUELINE MCNULTYCredential: MD
Location Address3623 LATROBE DR STE 216Charlotte, NC 28211-2117
Mailing AddressPo Box 221249Charlotte, NC 28222-1249
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2020
Enumeration DateApril 7, 2020
Last NPPES UpdateAugust 13, 20266 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
NPI 1063041432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NC · 2024-01624
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3623 LATROBE DR STE 216, Charlotte, NC 28211

Secondary Practice Location 1

Location 12301 Erwin RdDurham, NC 27705-4699 · Phone (919) 684-8111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rose Jacqueline Mcnulty Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749605699
PECOS Enrollment IDI20250602003634
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

Radiology (Diagnostic Radiology)
3623 LATROBE DR STE 216
CHARLOTTE, NC 28211
Radiology (Diagnostic Radiology)
3623 LATROBE DR STE 216
CHARLOTTE, NC 28211
Physician Assistant
3623 LATROBE DR STE 216
CHARLOTTE, NC 28211
Radiology (Diagnostic Radiology)
3623 LATROBE DR STE 216
CHARLOTTE, NC 28211
Physician Assistant
3623 LATROBE DR STE 216
CHARLOTTE, NC 28211
Radiology (Diagnostic Radiology)
3623 LATROBE DR STE 216
CHARLOTTE, NC 28211
Physician Assistant
3623 LATROBE DR STE 216
CHARLOTTE, NC 28211
Physician Assistant
3623 LATROBE DR STE 216
CHARLOTTE, NC 28211

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 Mcnulty's NPI number?

The NPI number for Rose Mcnulty is 1063041432. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Rose Mcnulty located?

Rose Mcnulty practices at 3623 Latrobe Dr Ste 216, Charlotte, NC 28211. The listed phone number is (704) 332-1291.

What is Rose Mcnulty's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Rose Mcnulty enrolled in Medicare?

Yes. Rose Mcnulty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Rose Mcnulty affiliated with any hospitals?

According to CMS data, Rose Mcnulty is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Rose Mcnulty was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.