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MRS. TRICIA KAY ROSA
NPI 1275193450
Nurse Practitioner - Family in Grand Rapids, MI

Active since June 19, 2019PECOS EnrolledAccepts Medicare Assignment
770 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546(616) 272-3533(616) 259-4839 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 11, 2022, Jul 31, 2019, Jun 19, 2019 (3 updates tracked since 2019).

About Mrs. Tricia Kay Rosa NPPES

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

MRS. TRICIA KAY ROSA (NPI 1275193450) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704278243) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1275193450
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TRICIA KAY ROSA
Location Address770 KENMOOR AVE SE STE 100Grand Rapids, MI 49546-8602
Mailing Address801 Rosehill RdJackson, MI 49202-1762 · (517) 212-2008 · Fax (517) 212-9023
Phone(616) 272-3533
Fax(616) 259-4839
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 19, 2019
Last NPPES UpdateJune 24, 20263 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1275193450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MI · 4704278243✔ Licensed in KY · 3017093
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 4704278243 (MI)
770 KENMOOR AVE SE STE 100, Grand Rapids, MI 49546
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Tricia Kay Rosa 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 ID2860721735
PECOS Enrollment IDI20190903001862
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

5

Medicare enrollment records show Tricia Rosa reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northview Health Specialists, PLLC
Same address
Family Medicine
770 KENMOOR AVE SE STE 100
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 72 clinicians in this Medicare group
NPI 1629558978 (616) 272-3533
Careline Palliative Care LLC
76 mi
Hospice and Palliative Medicine
801 ROSEHILL RD
Jackson, MI 49202
  • Reassigned Medicare billing, Michigan enrollment
  • 73 clinicians in this Medicare group
NPI 1801367073 (517) 212-2008
Northview Medical House Calls Plc
88 mi
Family Medicine
4760 FASHION SQUARE BLVD STE L-1
Saginaw, MI 48604
  • Reassigned Medicare billing, Michigan enrollment
  • 82 clinicians in this Medicare group
NPI 1336447002 (517) 212-9000
Provider Partners Care Management LP
524 mi
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Michigan enrollment
  • 52 clinicians in this Medicare group
NPI 1013348028 (443) 275-9800
Molina Care Connections, LLC.
1,868 mi
Nurse Practitioner
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, Florida and Texas enrollments
  • 99 clinicians in this Medicare group
NPI 1407243223 (888) 562-5442

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 49546 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

GAVIN O'BRIEN
Physician Assistant
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
MRS. SARAH A THOMSEN FNP
Nurse Practitioner (Family)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
BRITTANY J DEVRIES AGNP
Nurse Practitioner (Adult Health)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
ERIN KUCHAREK A-GNP-C
Nurse Practitioner (Primary Care)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (517) 212-2008
EMINA CELOVIC DNP
Nurse Practitioner (Adult Health)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
SAMUEL TERRANOVA NP
Nurse Practitioner (Primary Care)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
WILLIAM H DUKES MD
Family Medicine
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
MR. JEREMY RICHARD HERR MS, FNP, APNP
Nurse Practitioner (Family)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533

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 Tricia Rosa's NPI number?

The NPI number for Tricia Rosa is 1275193450. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Tricia Rosa located?

Tricia Rosa practices at 770 Kenmoor Ave SE Ste 100, Grand Rapids, MI 49546. The listed phone number is (616) 272-3533.

What is Tricia Rosa's specialty?

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

Is Tricia Rosa enrolled in Medicare?

Yes. Tricia Rosa 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.

Which organizations bill Medicare for Tricia Rosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tricia Rosa reassigns Medicare benefits to 5 organizations: Northview Health Specialists, PLLC (Grand Rapids, MI), Careline Palliative Care LLC (Jackson, MI), Northview Medical House Calls Plc (Saginaw, MI), Provider Partners Care Management LP (Columbia, MD) and Molina Care Connections, LLC. (Long Beach, CA). Each 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 Tricia Rosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tricia Rosa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Tricia Rosa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tricia Rosa was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.