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BLAIR NICOLE ROSE PA-C
NPI 1497059034
Physician Assistant - Medical in Dallas, TX

Active since December 22, 2010PECOS Enrolled
1717 MAIN ST, 5200, DALLAS, TX 75201(214) 712-2444 Get Directions Write a Review

NPPES record last updated: December 22, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blair Nicole Rose Pa-c NPPES

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

BLAIR NICOLE ROSE PA-C (NPI 1497059034) is an individual medical provider in Dallas, Texas and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497059034
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBLAIR NICOLE ROSECredential: PA-C
Location Address1717 MAIN ST, 5200Dallas, TX 75201-4612
Mailing Address804 Andersonville LnWylie, TX 75098-5304 · (972) 742-6091
Phone(214) 712-2444
Sole ProprietorNo
Enumeration DateDecember 22, 2010
✔ NPI 1497059034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1717 MAIN ST, Dallas, TX 75201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blair Nicole Rose Pa-c 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.

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.

DR. LAURETTA UFUOMA OGBUE MD
Internal Medicine
1717 MAIN ST, SUITE 5200
DALLAS, TX 75201
Dallas County (180) 036-2273
DR. DIGHTON C. PACKARD M.D.
Emergency Medicine
1717 MAIN ST, #5200
DALLAS, TX 75201
Dallas County (214) 712-2000
TEXAS EM-1 MEDICAL SERVICES PA
Physician Assistant
1717 MAIN ST, SUITE#5200
DALLAS, TX 75201
Dallas County (214) 712-2000
MUNIR FARIZ BISHARA MD
Pediatrics
1717 MAIN ST, 5200
DALLAS, TX 75201
Dallas County (214) 712-2000
AC PROVIDER SERVICES OF FLORIDA LLC
Anesthesiology
1717 MAIN ST, 5200
DALLAS, TX 75201
Dallas County (214) 932-1030
ANGELA JANE KENNEDY D.O.
Emergency Medicine
1717 MAIN ST, SUITE 5200
DALLAS, TX 75201
Dallas County (214) 712-2000
AMY KAHN M.D.
Emergency Medicine
1717 MAIN ST, SUITE 5200
DALLAS, TX 75201
Dallas County (214) 712-2448
DR. DAMALIA WILSON M.D.
Emergency Medicine
1717 MAIN ST, SUITE 5200
DALLAS, TX 75201
Dallas County (214) 712-2448

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 Blair Rose's NPI number?

The NPI number for Blair Rose is 1497059034. It was assigned to this individual provider in the NPPES registry on December 22, 2010.

Where is Blair Rose located?

Blair Rose practices at 1717 Main St 5200, Dallas, TX 75201. The listed phone number is (214) 712-2444.

What is Blair Rose's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Blair Rose enrolled in Medicare?

Yes. Blair Rose is registered in the Medicare PECOS enrollment system.

What insurance does Blair Rose accept?

Health plans from Blue Cross and Blue Shield of Texas list Blair 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 Blair Rose was last updated on December 22, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.