ANGIE ROSE
NPI 1326677535
Nurse Practitioner - Family in Quincy, IL

Q: What is Angie Rose's NPI number?

The NPI number for Angie Rose is 1326677535. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Q: What is Angie 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 Angie Rose was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 April 08, 2020PECOS Enrolled

1005 BROADWAY ST, QUINCY, IL 62301(217) 223-1200 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2022, Apr 8, 2020 (2 updates tracked since 2020).

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About Angie Rose NPPES

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

ANGIE ROSE (NPI 1326677535) is an individual family provider in Quincy, Illinois, licensed in Pennsylvania (SP025778) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1326677535

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANGIE ROSE

Location Address1005 BROADWAY STQuincy, IL 62301-2834

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405

Phone(217) 223-1200

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 8, 2020

Last NPPES UpdateJanuary 22, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2025

✔ NPI 1326677535 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

Licenses✔ Licensed in PA · SP025778✔ Licensed in MO · 2020002482

1005 BROADWAY ST, Quincy, IL 62301

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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)

Angie Rose is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587081930

PECOS Enrollment IDI20220611000376

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 62301 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers23 claims23 services$183.93 avg. paid by Medicare

Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554

DME-Other DME · category DE017N

1 supplier12 claims12 services$182.54 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ANGELA BYERLY

Pharmacist