DR. CIEMONE SAMATURA ROSE PH.D.
NPI 1376139949
Psychologist - Clinical in Zionsville, IN

Active since December 17, 2020PECOS EnrolledAccepts Medicare Assignment
10801 N MICHIGAN RD, ZIONSVILLE, IN 46077(216) 468-5000 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 1, 2021, Dec 17, 2020 (2 updates tracked since 2020).

About Dr. Ciemone Samatura Rose Ph.d. NPPES

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

DR. CIEMONE SAMATURA ROSE PH.D. (NPI 1376139949) is an individual clinical provider in Zionsville, Indiana, licensed in Indiana (20043067A) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1376139949
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CIEMONE SAMATURA ROSECredential: PH.D.
Location Address10801 N MICHIGAN RDZionsville, IN 46077-8170
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 17, 2020
Last NPPES UpdateJune 9, 20262 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
NPI 1376139949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IN · 20043067A
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
10801 N MICHIGAN RD, Zionsville, IN 46077

Secondary Practice Locations 3

Location 111900 Pennsylvania St Ste 104Carmel, IN 46032-4694 · Phone (216) 468-5000
Location 22780 Lakeshire LnIndianapolis, IN 46268-3219 · Phone (317) 674-3139
Location 32100 N Main St Ste 304Crown Point, IN 46307-1877 · Phone (574) 546-1900 · Fax (574) 546-1999

Accepted Insurance

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

Dr. Ciemone Samatura Rose Ph.d. 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 ID6709290042
PECOS Enrollment IDI20210128001410
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 46077 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 18

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

Family Medicine
10801 N MICHIGAN RD
ZIONSVILLE, IN 46077
Family Medicine
10801 N MICHIGAN RD
ZIONSVILLE, IN 46077
Emergency Medicine
10801 N MICHIGAN RD, SUITE 110
ZIONSVILLE, IN 46077
Optometrist
10801 N MICHIGAN RD, STE 100
ZIONSVILLE, IN 46077
Pediatrics
10801 N MICHIGAN RD
ZIONSVILLE, IN 46077
Nurse Practitioner (Psychiatric/Mental Health)
10801 N MICHIGAN RD
ZIONSVILLE, IN 46077
Dentist (Pediatric Dentistry)
10801 N MICHIGAN RD, SUITE 210
ZIONSVILLE, IN 46077
Clinic/Center (Dental)
10801 N MICHIGAN RD, SUITE 210
ZIONSVILLE, IN 46077

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 Ciemone Rose's NPI number?

The NPI number for Ciemone Rose is 1376139949. It was assigned to this individual provider in the NPPES registry on December 17, 2020.

Where is Ciemone Rose located?

Ciemone Rose practices at 10801 N Michigan Rd, Zionsville, IN 46077. The listed phone number is (216) 468-5000.

What is Ciemone Rose's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ciemone Rose enrolled in Medicare?

Yes. Ciemone Rose 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.

What insurance does Ciemone Rose accept?

Health plans from CareSource list Ciemone 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 Ciemone Rose was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 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.