LISA DE ROSE MD
NPI 1457905689
Internal Medicine - Pulmonary Disease in Bay City, MI

Active since July 25, 2019PECOS Enrolled
1900 COLUMBUS AVE, BAY CITY, MI 48708(989) 894-3000 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2026, Jun 23, 2025, Jun 30, 2020 and 1 more (4 updates tracked since 2019).

About Lisa De Rose Md NPPES

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

LISA DE ROSE MD (NPI 1457905689) is an individual pulmonary disease provider in Bay City, Michigan, licensed in Michigan (4301514852) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1457905689
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameLISA DE ROSECredential: MD
Location Address1900 COLUMBUS AVEBay City, MI 48708-6831
Mailing Address22101 Moross RdDetroit, MI 48236-2148
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 25, 2019
Last NPPES UpdateJune 4, 20264 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1457905689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MI · 4301514852
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 4301514852 (MI)
1900 COLUMBUS AVE, Bay City, MI 48708

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa De Rose Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951638774
PECOS Enrollment IDI20260814003371
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 Reassignments

2

Medicare enrollment records show Lisa De Rose reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Practice Midwife
3175 PROFESSIONAL CT
Bay City, MI 48706
  • Reassigned Medicare billing, Michigan enrollment
  • 416 clinicians in this Medicare group
General Acute Care Hospital
1221 SOUTH DR
Mt Pleasant, MI 48858
  • Reassigned Medicare billing, Michigan enrollment
  • 321 clinicians in this Medicare group

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 48708 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

Nurse Practitioner (Family)
1900 COLUMBUS AVE
BAY CITY, MI 48708
Nurse Practitioner
1900 COLUMBUS AVE
BAY CITY, MI 48708
Physical Therapist
1900 COLUMBUS AVE
BAY CITY, MI 48708
Nurse Anesthetist, Certified Registered
1900 COLUMBUS AVE
BAY CITY, MI 48708
Specialist/Technologist, Other (Surgical Technologist)
1900 COLUMBUS AVE
BAY CITY, MI 48708
Anesthesiology
1900 COLUMBUS AVE
BAY CITY, MI 48708
Obstetrics & Gynecology
1900 COLUMBUS AVE
BAY CITY, MI 48708
Family Medicine
1900 COLUMBUS AVE
BAY CITY, MI 48708

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 Lisa De Rose's NPI number?

The NPI number for Lisa De Rose is 1457905689. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Where is Lisa De Rose located?

Lisa De Rose practices at 1900 Columbus Ave, Bay City, MI 48708. The listed phone number is (989) 894-3000.

What is Lisa De Rose's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Lisa De Rose enrolled in Medicare?

Yes. Lisa De Rose is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa De Rose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa De Rose reassigns Medicare benefits to 2 organizations: Mclaren Medical Group (Bay City, MI) and Mclaren Central Michigan (Mt Pleasant, MI). Each 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 Lisa De Rose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa De 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 1 other insurer list Lisa De 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 Lisa De Rose was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.