NICKOLAS ROSE
NPI 1568868867
Nurse Anesthetist, Certified Registered in Dallas, TX

Active since November 13, 2014Accepts Medicare Assignment
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240(972) 715-5000(972) 715-9976 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2018, Jan 13, 2016, Nov 24, 2015 (3 updates tracked since 2015).

About Nickolas Rose NPPES

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

NICKOLAS ROSE (NPI 1568868867) is an individual nurse anesthetist, certified registered in Dallas, Texas, licensed in Texas (AP127202) and active in the NPI registry since November 2014. He is affiliated with Haskell Memorial Hospital, maintains a secondary practice location in Jacksboro, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1568868867
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameNICKOLAS ROSE
Location Address6606 LBJ FWY, SUITE 200Dallas, TX 75240
Mailing AddressPo Box 650865Dallas, TX 75265-0865 · (972) 715-5000 · Fax (972) 715-9976
Fax(972) 715-9976
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 13, 2014
Last NPPES UpdateFebruary 16, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2024
✔ NPI 1568868867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TX · AP127202
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
6606 LBJ FWY, Dallas, TX 75240

Secondary Practice Location 1

Location 1215 Chisholm TrlJacksboro, TX 76458-1403 · Phone (940) 567-6633 · Fax (940) 567-2895

Other Identifiers 3

Other8582UJTX · Bcbs
Medicaid343604001TX
OtherP01446741TX · Rr

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nickolas Rose 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 ID2769708155
PECOS Enrollment IDI20150302001792

Medicare Billing Reassignments

7

Medicare enrollment records show Nickolas Rose reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
3865 CHILDRESS AVE STE A
Mesquite, TX 75150
  • Reassigned Medicare billing, Texas enrollment
  • 18 clinicians in this Medicare group
Anesthesiology
3865 CHILDRESS AVE
Mesquite, TX 75150
  • Reassigned Medicare billing, Texas enrollment
  • 43 clinicians in this Medicare group
Anesthesiology
4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109
  • Reassigned Medicare billing, Texas enrollment
  • 1,612 clinicians in this Medicare group
Family Medicine
90 PARK RD
Nocona, TX 76255
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
Critical Access
1 AVENUE N
Haskell, TX 79521
  • Reassigned Medicare billing, Texas enrollment
  • 25 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
2217 S DANVILLE DR
Abilene, TX 79605
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1100 ANDRE ST, SUITE 300
New Iberia, LA 70563
  • Reassigned Medicare billing, Texas enrollment
  • 282 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.

Areas of Expertise CMS Part B claims 4

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.

Anesthesia for other procedure on nose and sinuses 00160
Anesthesia for procedures on the nose and sinuses involves administering medication to block sensation, ensuring comfort during the procedure. It can be local (numbing a specific area) or general (you're asleep). This helps prevent pain and discomfort during the procedure.
36 services36 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
30 services30 patients
Anesthesia for other procedure on lower leg, ankle, and foot bones 01480
Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.
15 services14 patients
Anesthesia for other procedure on nose and sinuses 00160
Anesthesia for procedures on the nose and sinuses involves administering medication to block sensation, ensuring comfort during the procedure. It can be local (numbing a specific area) or general (you're asleep). This helps prevent pain and discomfort during the procedure.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Haskell Memorial Hospital

Critical Access Hospitals · Haskell, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451341
Location1 North Avenue N PO Box 1117Haskell, TX 79521 · Haskell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75240 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

Nurse Anesthetist, Certified Registered
6606 LBJ FWY, SUITE 200
DALLAS, TX 75240
Nurse Anesthetist, Certified Registered
6606 LBJ FWY, SUITE 200
DALLAS, TX 75240
Nurse Anesthetist, Certified Registered
6606 LBJ FWY, STE. 200
DALLAS, TX 75240
Anesthesiology
6606 LBJ FWY, STE. 200
DALLAS, TX 75240
Nurse Anesthetist, Certified Registered
6606 LBJ FWY, STE. 200
DALLAS, TX 75240
Anesthesiology
6606 LBJ FWY, SUITE 200
DALLAS, TX 75240
Nurse Anesthetist, Certified Registered
6606 LBJ FWY, SUITE 200
DALLAS, TX 75240
Nurse Anesthetist, Certified Registered
6606 LBJ FWY, SUITE 200
DALLAS, TX 75240

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 Nickolas Rose's NPI number?

The NPI number for Nickolas Rose is 1568868867. It was assigned to this individual provider in the NPPES registry on November 13, 2014.

Where is Nickolas Rose located?

Nickolas Rose practices at 6606 Lbj Fwy Suite 200, Dallas, TX 75240. The listed phone number is (972) 715-5000.

What is Nickolas Rose's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Nickolas Rose enrolled in Medicare?

Yes. Nickolas 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.

Which organizations bill Medicare for Nickolas Rose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nickolas Rose reassigns Medicare benefits to 7 organizations: Kikkeri International, PA (Mesquite, TX), Mesquite Professional Anesthesia, PA (Mesquite, TX), Emergenchealth PLLC (Fort Worth, TX), Nocona Medical Clinic, P.A. (Nocona, TX), Haskell County Hospital (Haskell, TX) and 2 more organizations, listed in the Medicare section above. 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 Nickolas Rose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nickolas Rose accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Nickolas 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 Nickolas Rose affiliated with any hospitals?

According to CMS data, Nickolas Rose is affiliated with Haskell Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nickolas Rose was last updated on February 16, 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.