Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Tricia Rosa'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 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 46 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.

Active since June 19, 2019PECOS Enrolled

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: August 02, 2026.

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

On this page

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.

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

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 ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tricia Kay Rosa 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.

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