TYLER GREGORY ROSE PA-C
NPI 1386213916
Physician Assistant in Providence, RI

Active since June 18, 2021PECOS EnrolledAccepts Medicare Assignment
825 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 456-2121 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2024, Jul 12, 2021, Jun 18, 2021 (3 updates tracked since 2021).

About Tyler Gregory Rose Pa-c NPPES

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

TYLER GREGORY ROSE PA-C (NPI 1386213916) is an individual physician assistant in Providence, Rhode Island, licensed in Rhode Island (PA01345) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386213916
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTYLER GREGORY ROSECredential: PA-C
Location Address825 CHALKSTONE AVEProvidence, RI 02908-4728
Mailing Address459 East Ave # 3fPawtucket, RI 02860-7606 · (860) 575-6412
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 18, 2021
Last NPPES UpdateJune 20, 20243 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
NPI 1386213916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in RI · PA01345
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
825 CHALKSTONE AVE, Providence, RI 02908

Secondary Practice Locations 2

Location 1101 Dudley StProvidence, RI 02905-2401 · Phone (401) 274-1122 · Fax (401) 453-7666
Location 2455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010 · Fax (401) 736-4546

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

Tyler Gregory Rose Pa-c 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 ID4880097419
PECOS Enrollment IDI20210720003261
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
47 services45 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
22 services18 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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 20

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

Internal Medicine (Medical Oncology)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Anesthesiology
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Emergency Medicine
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
General Acute Care Hospital
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Pathology (Anatomic Pathology)
825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT.
PROVIDENCE, RI 02908
Nurse Anesthetist, Certified Registered
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Internal Medicine (Hematology & Oncology)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908

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 Tyler Rose's NPI number?

The NPI number for Tyler Rose is 1386213916. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Where is Tyler Rose located?

Tyler Rose practices at 825 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 456-2121.

What is Tyler Rose's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tyler Rose enrolled in Medicare?

Yes. Tyler 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 Tyler Rose accept?

Health plans from WellSense Health Plan list Tyler 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.

Is Tyler Rose affiliated with any hospitals?

According to CMS data, Tyler Rose is affiliated with Kent County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Rose was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.