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

NICOLETTE L ROSE LMSW
NPI 1336892710
Social Worker - Clinical in Capac, MI

Active since January 27, 2022PECOS Enrolled
14675 DOWNEY RD, CAPAC, MI 48014(810) 395-4343(810) 395-2985 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Jan 7, 2026, Jan 27, 2022 (3 updates tracked since 2022).

About Nicolette L Rose Lmsw NPPES

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

NICOLETTE L ROSE LMSW (NPI 1336892710) is an individual clinical provider in Capac, Michigan, licensed in Michigan (6801122641) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1336892710
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLETTE L ROSECredential: LMSW
Location Address14675 DOWNEY RDCapac, MI 48014
Mailing Address3111 Electric AvePort Huron, MI 48060-8127 · (810) 985-8900 · Fax (810) 966-3393
Phone(810) 395-4343
Fax(810) 395-2985
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 27, 2022
Last NPPES UpdateOctober 15, 20263 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1336892710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801122641
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
14675 DOWNEY RD, Capac, MI 48014
Open in Google Maps ↗

Other Names 1

Former Name (1)Nicolette L Cornett

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 (PECOS)

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

PECOS PAC ID8729544168
PECOS Enrollment IDI20260727002899
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 Reassignment

Medicare enrollment records show Nicolette Rose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Genesee Health System
36 mi
Federally Qualified Health Center (FQHC)
2298 S CENTER RD
Burton, MI 48519
  • Reassigned Medicare billing, Michigan enrollment
  • 70 clinicians in this Medicare group
NPI 1982018610 (810) 257-3777

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 48014 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
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 11

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

JANET DOOLAN BS, BA
Case Manager/Care Coordinator
14675 DOWNEY RD
MUSSEY, MI 48014
St. Clair County (810) 395-4343
BETH A JORDAN LPC
Counselor (Professional)
14675 DOWNEY RD
CAPAC, MI 48014
St. Clair County (810) 395-4343
ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY
Community/Behavioral Health
14675 DOWNEY RD
CAPAC, MI 48014
St. Clair County (810) 395-4343
SARAH HAMMEL LMSW, IMH-E
Social Worker (Clinical)
14675 DOWNEY RD
CAPAC, MI 48014
St. Clair County (810) 395-4343
ST CLAIR COUNTY COMMUNITY MENTAL HEALTH SUD SERVICES - CAPAC
Clinic/Center (Rehabilitation, Substance Use Disorder)
14675 DOWNEY RD
CAPAC, MI 48014
St. Clair County (810) 395-4343
MARY THEEL LMSW
Social Worker (Clinical)
14675 DOWNEY RD
CAPAC, MI 48014
St. Clair County (810) 395-4343
MR. JEFFREY MARK CATES II LLMSW
Social Worker (Clinical)
14675 DOWNEY RD
CAPAC, MI 48014
St. Clair County (810) 395-4343
NICHOLE M HARRINGTON
Registered Nurse
14675 DOWNEY RD
MUSSEY, MI 48014
St. Clair County (810) 985-8900

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 Nicolette Rose's NPI number?

The NPI number for Nicolette Rose is 1336892710. It was assigned to this individual provider in the NPPES registry on January 27, 2022. The provider is also known as Nicolette L Cornett.

Where is Nicolette Rose located?

Nicolette Rose practices at 14675 Downey Rd, Capac, MI 48014. The listed phone number is (810) 395-4343.

What is Nicolette Rose's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Nicolette Rose enrolled in Medicare?

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

Which organization bills Medicare for Nicolette Rose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolette Rose reassigns Medicare benefits to Genesee Health System (Burton, MI). The 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 Nicolette Rose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicolette Rose accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Nicolette Rose 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 Nicolette Rose was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.