LUCY ROSE MD
NPI 1235924754
Student in an Organized Health Care Education/Training Program in Winston Salem, NC
About Lucy Rose Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUCY ROSE MD (NPI 1235924754) is an individual student in an organized health care education/training program in Winston Salem, North Carolina, licensed in North Carolina (RTL26-1064) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lucy Rose Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
WINSTON SALEM, NC 27104
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 Lucy Rose's NPI number?
The NPI number for Lucy Rose is 1235924754. It was assigned to this individual provider in the NPPES registry on April 14, 2025.
Where is Lucy Rose located?
Lucy Rose practices at 4618 Country Club Rd, Winston Salem, NC 27104. The listed phone number is (336) 716-3926.
What is Lucy Rose's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Lucy Rose enrolled in Medicare?
Yes. Lucy Rose is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lucy Rose was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 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.
# Lucy Rose, MD · NPI 1235924754
Student in an Organized Health Care Education/Training Program provider in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since April 14, 2025.
## Identity
- **NPI:** 1235924754 (Entity type: Individual)
- **Enumerated:** April 14, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** RTL26-1064 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4618 COUNTRY CLUB RD, Winston Salem, NC 27104-3520
- **Phone:** (336) 716-3926
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1235924754) · Data from the CMS NPPES public registry.