CHANDA M ROSE CNP
NPI 1356009765
Nurse Practitioner - Family in Tucumcari, NM

Q: What is Chanda Rose's NPI number?

The NPI number for Chanda Rose is 1356009765. It was assigned to this individual provider in the NPPES registry on December 2, 2021.

Q: What is Chanda 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 Chanda Rose was last updated on July 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 02, 2021PECOS EnrolledAccepts Medicare Assignment

1302 E MAIN ST, TUCUMCARI, NM 88401(754) 612-2005(575) 461-2213 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 2, 2024, Jun 18, 2024, Dec 2, 2021 (3 updates tracked since 2021).

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About Chanda M Rose Cnp NPPES

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

CHANDA M ROSE CNP (NPI 1356009765) is an individual family provider in Tucumcari, New Mexico, licensed in New Mexico (CNP-66220) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Dr Dan C Trigg Memorial Hospital, and maintains a secondary practice location in Santa Rosa.

NPPES Registry Identity

NPI1356009765

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCHANDA M ROSECredential: CNP

Location Address1302 E MAIN STTucumcari, NM 88401-2508

Mailing Address1302 E Main StTucumcari, NM 88401-2508 · (754) 612-2005 · Fax (575) 461-2213

Phone(754) 612-2005

Fax(575) 461-2213

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 2, 2021

Last NPPES UpdateJuly 2, 20243 updates tracked since enumeration

NPPES CertifiedJuly 2, 2024

✔ NPI 1356009765 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 NM · CNP-66220

1302 E MAIN ST, Tucumcari, NM 88401

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Secondary Practice Location 1

Location 1117 Camino De Vida Ste 300Santa Rosa, NM 88435-2267 · Phone (575) 472-4311 · Fax (877) 651-0289

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chanda M Rose Cnp 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 ID840683736

PECOS Enrollment IDI20220217002062

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.

Areas of Expertise CMS Part B claims 3

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

19 services18 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

18 services15 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Dr Dan C Trigg Memorial Hospital

Critical Access Hospitals · Tucumcari, NM

OwnershipVoluntary non-profit - Private

CMS Certification Number321302

Location301 East Miel De Luna AvenueTucumcari, NM 88401 · Quay County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88401 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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.

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Other Providers at the Same Location NPPES 6

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

PATRICIA L STULL LPCC

Counselor (Professional)