AUDRA J ROSE PA
NPI 1487877619
Obstetrics & Gynecology in Idaho Falls, ID

Q: What is Audra Rose's NPI number?

The NPI number for Audra Rose is 1487877619. It was assigned to this individual provider in the NPPES registry on April 10, 2007. The provider is also known as Audra J Rose.

Q: What is Audra Rose's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Audra Rose was last updated on December 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment

3450 POTOMAC WAY, IDAHO FALLS, ID 83404(208) 557-2900(208) 557-2910 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Audra J Rose Pa NPPES

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

AUDRA J ROSE PA (NPI 1487877619) is an individual obstetrics & gynecology provider in Idaho Falls, Idaho, licensed in Idaho (M6628) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1487877619

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameAUDRA J ROSECredential: PA

Location Address3450 POTOMAC WAYIdaho Falls, ID 83404-7407

Mailing Address3450 Potomac WayIdaho Falls, ID 83404-4970 · (208) 557-2900 · Fax (208) 557-2910

Phone(208) 557-2900

Fax(208) 557-2910

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateApril 10, 2007

Last NPPES UpdateDecember 29, 2023

NPPES CertifiedDecember 29, 2023

✔ NPI 1487877619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in ID · M6628

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedPhysician AssistantTaxonomy 363A00000X · License TL403 (WY)

3450 POTOMAC WAY, Idaho Falls, ID 83404

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Other Names 1

Former Name (1)Audra J Rose

Other Identifiers 1

Medicaid807761500ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan, Select Health and more.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

Audra J Rose Pa 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 ID4486745668

PECOS Enrollment IDI20070801000734

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 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

53 services42 patients

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.

41 services38 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

25 services24 patients

Detection test for candida species (yeast), direct probe technique 87480

The detection test for Candida species uses a direct probe technique. This is a lab test where a sample is taken from your body, typically from the mouth or skin. The sample is then examined under a microscope to identify the presence of Candida, a type of yeast that can cause infection.

19 services14 patients

Detection test for gardnerella vaginalis (bacteria), direct probe technique 87510

This test helps find a certain type of bacteria called Gardnerella vaginalis. The direct probe technique uses a small sample from your body. This sample is then examined in a lab to see if this bacteria is present. This helps in identifying and treating any related health issues.

19 services14 patients

Detection test by nucleic acid for trichomonas vaginalis (genital parasite), direct probe technique 87660

This test helps identify a common microscopic organism that can cause discomfort. It uses a direct probe technique, which involves analyzing a small sample from your body. The test detects the organism's unique genetic material (nucleic acid), confirming its presence.

19 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID

3/5 CMS rating

OwnershipProprietary

CMS Certification Number130018

Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID

1/5 CMS rating

OwnershipPhysician

CMS Certification Number130065

Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

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Other Providers at the Same Location NPPES 9

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

KATHRYN ELIZABETH FENSKE CNM

Midwife