MRS. CHARLIE CLUSHETTEA ROSE APRN
NPI 1245996644
Nurse Practitioner - Family in Bowling Green, KY

Q: What is Charlie Rose's NPI number?

The NPI number for Charlie Rose is 1245996644. It was assigned to this individual provider in the NPPES registry on November 10, 2021.

Q: What is Charlie Rose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Charlie Rose was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 November 10, 2021PECOS EnrolledAccepts Medicare Assignment

944 FIELDS DR STE 102, BOWLING GREEN, KY 42104(270) 904-7029(270) 826-0212 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 1, 2026, Nov 15, 2022, Nov 10, 2021 (3 updates tracked since 2021).

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About Mrs. Charlie Clushettea Rose Aprn NPPES

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

MRS. CHARLIE CLUSHETTEA ROSE APRN (NPI 1245996644) is an individual family provider in Bowling Green, Kentucky, licensed in Kentucky (3016967) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245996644

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. CHARLIE CLUSHETTEA ROSECredential: APRN

Location Address944 FIELDS DR STE 102Bowling Green, KY 42104-5381

Mailing Address944 Fields Dr Ste 102Bowling Green, KY 42104-5381 · (270) 904-7029

Phone(270) 904-7029

Fax(270) 826-0212

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 10, 2021

Last NPPES UpdateJune 1, 20263 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1245996644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3016967

944 FIELDS DR STE 102, Bowling Green, KY 42104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Charlie Clushettea Rose Aprn 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 ID8820485220

PECOS Enrollment IDI20220504001592

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 Reassignments

Medicare enrollment records show Charlie Rose reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Matthew 25 Aids Services Inc

87 mi

Clinic/Center

452 OLD CORYDON RD
Henderson, KY 42420

Reassigned Medicare billing, Kentucky enrollment
6 clinicians in this Medicare group

NPI 1457355125 (270) 826-0200

Cardinal Health PLLC

87 mi

Family Medicine

9600 LAMBORNE BLVD
Louisville, KY 40272

Reassigned Medicare billing, Kentucky enrollment
20 clinicians in this Medicare group

NPI 1265384077 (385) 207-9919

Signify Health, LLC

651 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Kentucky enrollment
390 clinicians in this Medicare group

NPI 1689158487 (469) 466-7007

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42104 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 8

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

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