ROSE KLANN
NPI 1639930688
Nurse Practitioner - Acute Care in Myrtle Beach, SC

Q: What is Rose Klann's NPI number?

The NPI number for Rose Klann is 1639930688. It was assigned to this individual provider in the NPPES registry on January 17, 2024.

Q: What is Rose Klann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Rose Klann was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 17, 2024PECOS EnrolledAccepts Medicare Assignment

920 DOUG WHITE DR STE 210, MYRTLE BEACH, SC 29572(843) 497-6348(843) 497-6351 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Rose Klann NPPES

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

ROSE KLANN (NPI 1639930688) is an individual acute care provider in Myrtle Beach, South Carolina, licensed in South Carolina (29315) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Grand Strand Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639930688

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameROSE KLANN

Location Address920 DOUG WHITE DR STE 210Myrtle Beach, SC 29572-4181

Mailing Address920 Doug White Dr Ste 210Myrtle Beach, SC 29572-4181 · (843) 497-6348 · Fax (843) 497-6351

Phone(843) 497-6348

Fax(843) 497-6351

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 17, 2024

Last NPPES UpdateMarch 7, 2025

NPPES CertifiedMarch 7, 2025

✔ NPI 1639930688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in SC · 29315✔ Licensed in MI · 4704358498

920 DOUG WHITE DR STE 210, Myrtle Beach, SC 29572

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare.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

Rose Klann 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 ID547780462

PECOS Enrollment IDI20250224000124

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 Reassignment

Medicare enrollment records show Rose Klann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grand Strand Surgical Specialists, LLC

5.8 mi

Surgery

849 82ND PKWY
Myrtle Beach, SC 29572

Reassigned Medicare billing, South Carolina enrollment
51 clinicians in this Medicare group

NPI 1841465804 (843) 497-6348

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420085

Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29572 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

ALEXANDER PETKOVSEK

Nurse Practitioner (Family)