ROSE VILLARREAL
NPI 1245261643
Physician Assistant - Medical in State College, PA

Q: What is Rose Villarreal's NPI number?

The NPI number for Rose Villarreal is 1245261643. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Rose Villarreal's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Rose Villarreal was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 05, 2006PECOS Enrolled

611 UNIVERSITY DR STE 210, SUITE 210, STATE COLLEGE, PA 16801(814) 234-2007 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 24, 2021, Jul 25, 2019 (2 updates tracked since 2019).

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About Rose Villarreal NPPES

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

ROSE VILLARREAL (NPI 1245261643) is an individual medical provider in State College, Pennsylvania, licensed in Pennsylvania (MA057411) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245261643

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameROSE VILLARREAL

Location Address611 UNIVERSITY DR STE 210, SUITE 210State College, PA 16801-6552

Mailing Address611 University Dr Ste 210, Suite 210State College, PA 16801-6552

Phone(814) 234-2007

Sole ProprietorNo

Enumeration DateJuly 5, 2006

Last NPPES UpdateMay 24, 20212 updates tracked since enumeration

✔ NPI 1245261643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA057411

611 UNIVERSITY DR STE 210, State College, PA 16801

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rose Villarreal 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.

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 Villarreal's NPI number?

The NPI number for Rose Villarreal is 1245261643. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Rose Villarreal located?

Rose Villarreal practices at 611 University Dr Ste 210 Suite 210, State College, PA 16801. The listed phone number is (814) 234-2007.

What is Rose Villarreal's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Rose Villarreal enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Rose Villarreal was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.