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AMY ROSELIUS
NPI 1184090359
Nurse Practitioner - Adult Health in Dothan, AL

Active since August 11, 2015PECOS Enrolled
3124 ROSS CLARK CIR, DOTHAN, AL 36303(334) 678-9123(334) 678-9124 Get Directions Write a Review

NPPES record last updated: August 11, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amy Roselius NPPES

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

AMY ROSELIUS (NPI 1184090359) is an individual adult health provider in Dothan, Alabama, licensed in Alabama (1-090081) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184090359
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameAMY ROSELIUS
Location Address3124 ROSS CLARK CIRDothan, AL 36303-3038
Mailing Address3124 Ross Clark CirDothan, AL 36303-3038 · (334) 678-9123 · Fax (334) 678-9124
Phone(334) 678-9123
Fax(334) 678-9124
Sole ProprietorNo
Enumeration DateAugust 11, 2015
✔ NPI 1184090359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in AL · 1-090081
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 1-090081 (AL)
3124 ROSS CLARK CIR, Dothan, AL 36303
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Roselius 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.

Medicare Billing Reassignment

Medicare enrollment records show Amy Roselius reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Extended Care Medical Associates LLC
0.4 mi
Family Medicine
256 HONEYSUCKLE RD STE 20
Dothan, AL 36305
  • Reassigned Medicare billing, Alabama enrollment
  • 6 clinicians in this Medicare group
NPI 1902182371 (334) 699-3320

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36303 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 2

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

OCCMED SOLUTIONS LLC
Clinic/Center (Occupational Medicine)
3124 ROSS CLARK CIR
DOTHAN, AL 36303
Houston County (334) 678-9123
MRS. CINDY RUTH HEMENDINGER CRNP
Nurse Practitioner (Family)
3124 ROSS CLARK CIR
DOTHAN, AL 36303
Houston County (334) 678-9023

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 Amy Roselius's NPI number?

The NPI number for Amy Roselius is 1184090359. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Amy Roselius located?

Amy Roselius practices at 3124 Ross Clark Cir, Dothan, AL 36303. The listed phone number is (334) 678-9123.

What is Amy Roselius's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Amy Roselius enrolled in Medicare?

Yes. Amy Roselius is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Roselius's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Roselius reassigns Medicare benefits to Extended Care Medical Associates LLC (Dothan, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Roselius's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Roselius was last updated on August 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.