DR. ETHEL S. ROSE MD
NPI 1376568568
Psychiatry & Neurology - Neurology in Jackson, MS

Q: What is Ethel Rose's NPI number?

The NPI number for Ethel Rose is 1376568568. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is Ethel Rose's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Ethel Rose was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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 July 12, 2006PECOS Enrolled

1500 E WOODROW WILSON AVE, VAMC, 127, JACKSON, MS 39216(601) 364-1285(601) 364-1257 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Ethel S. Rose Md NPPES

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

DR. ETHEL S. ROSE MD (NPI 1376568568) is an individual neurology provider in Jackson, Mississippi, licensed in Mississippi (09736) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376568568

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameDR. ETHEL S. ROSECredential: MD

Location Address1500 E WOODROW WILSON AVE, VAMC, 127Jackson, MS 39216-5116

Mailing Address1500 E. Woodrow Wilson Dr, Vamc, 127Jackson, MS 39216-5116 · (601) 364-1285 · Fax (601) 364-1257

Phone(601) 364-1285

Fax(601) 364-1257

Sole ProprietorNo

Enumeration DateJuly 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1376568568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in MS · 09736

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1500 E WOODROW WILSON AVE, Jackson, MS 39216

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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)

Dr. Ethel S. Rose Md 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 39216 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 20

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

MELISSA ALLENE GRAIG RN

Registered Nurse