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DESTINY L ROSE PA-C
NPI 1588264402
Physician Assistant - Medical in Edmond, OK

Active since October 29, 2020PECOS Enrolled
2000 E 15TH ST STE 400A, EDMOND, OK 73013(405) 692-1557 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2025, Dec 11, 2022, Dec 17, 2020 and 2 more (5 updates tracked since 2020).

About Destiny L Rose Pa-c NPPES

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

DESTINY L ROSE PA-C (NPI 1588264402) is an individual medical provider in Edmond, Oklahoma, licensed in Oklahoma (4412) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588264402
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDESTINY L ROSECredential: PA-C
Location Address2000 E 15TH ST STE 400AEdmond, OK 73013-6673
Mailing Address2000 E 15th St Ste 400aEdmond, OK 73013-6673 · (405) 341-1697 · Fax (405) 341-2672
Phone(405) 692-1557
Sole ProprietorYes
Enumeration DateOctober 29, 2020
Last NPPES UpdateJune 23, 20255 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1588264402 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
License✔ Licensed in OK · 4412
2000 E 15TH ST STE 400A, Edmond, OK 73013
Open in Google Maps ↗

Other Names 1

Former Name (1)Destiny L Shelton Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 (PECOS)

Destiny L 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 8

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

RACHAEL HARMON APRN
Nurse Practitioner (Psychiatric/Mental Health)
2000 E 15TH ST STE 400A
EDMOND, OK 73013
Oklahoma County (405) 632-6688
ASHLEY MORGAN GARRISON PA-C
Physician Assistant
2000 E 15TH ST STE 400A
EDMOND, OK 73013
Oklahoma County (405) 341-1697
VARIETY CARE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2000 E 15TH ST STE 400A
EDMOND, OK 73013
Oklahoma County (405) 632-6688
MR. STEPHEN JOHNSTON PA
Physician Assistant
2000 E 15TH ST STE 400A
EDMOND, OK 73013
Oklahoma County (405) 341-1697
DR. PETER B STANBRO M.D., M.P.H
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2000 E 15TH ST STE 400A
EDMOND, OK 73013
Oklahoma County (617) 899-4945
LOUIS GUERRANT
Physician Assistant
2000 E 15TH ST STE 400A
EDMOND, OK 73013
Oklahoma County (405) 341-1697
BRYAN MARSHALL TISON PNP-PC
Nurse Practitioner (Pediatrics)
2000 E 15TH ST STE 400A
EDMOND, OK 73013
Oklahoma County (405) 341-1697
POOJA BHAKTA PA-C
Physician Assistant
2000 E 15TH ST STE 400A
EDMOND, OK 73013
Oklahoma County (405) 341-1697

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 Destiny Rose's NPI number?

The NPI number for Destiny Rose is 1588264402. It was assigned to this individual provider in the NPPES registry on October 29, 2020. The provider is also known as Destiny L Shelton Pa-C.

Where is Destiny Rose located?

Destiny Rose practices at 2000 E 15th St Ste 400A, Edmond, OK 73013. The listed phone number is (405) 692-1557.

What is Destiny Rose's specialty?

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

Is Destiny Rose enrolled in Medicare?

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

What insurance does Destiny Rose accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Destiny 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 Destiny Rose was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.