1. Home
  2. Directory
  3. Michigan
  4. Alpena
  5. Clinic Center
  6. NPI Profile

BELLA ROSE SKIN CARE AND WELLNESS CENTER
NPI 1669004875
Clinic/Center - Health Service in Alpena, MI

Active since February 05, 2020CLIA 23D2181464 · Waiver
114 E OLDFIELD ST, ALPENA, MI 49707(989) 464-1883 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 24, 2020, Feb 5, 2020 (2 updates tracked since 2020).

About Bella Rose Skin Care And Wellness Center NPPES

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

BELLA ROSE SKIN CARE AND WELLNESS CENTER (NPI 1669004875) is a healthcare organization registered as a health service in Alpena, Michigan and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Jessica Glenn-beatty, Owner, as its authorized official.

NPPES Registry Identity

NPI1669004875
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameBELLA ROSE SKIN CARE PLLC
Location Address114 E OLDFIELD STAlpena, MI 49707-2354
Mailing Address114 E Oldfield StAlpena, MI 49707-2354
Phone(989) 464-1883
Organization SubpartNo
Authorized OfficialJessica Glenn-beattyOwner · (989) 464-1883
Enumeration DateFebruary 5, 2020
Last NPPES UpdateMarch 24, 20202 updates tracked since enumeration
NPPES CertifiedMarch 24, 2020
✔ NPI 1669004875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
114 E OLDFIELD ST, Alpena, MI 49707
Open in Google Maps ↗

Other Names 1

Doing Business AsBella Rose Skin Care And Wellness Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bella Rose Skin Care And Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bella Rose Skin Care And Wellness Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jessica Bruning, MD
Family Practice
NPI 1598908063
114 E OLDFIELD ST
Alpena, MI 49707
(989) 464-1883
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2181464

Bella Rose Skin Care And Wellness Center · Alpena, MI
Active · expires Sep 14, 2027
CLIA Number23D2181464
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorJessica R. Bruning
Laboratory Phone(989) 464-1883
Laboratory LocationBella Rose Skin Care And Wellness Center104 N 2nd Avenue, Alpena, MI 49707
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bella Rose Skin Care PLLC's NPI number?

The NPI number for Bella Rose Skin Care PLLC is 1669004875. It was assigned to this organization in the NPPES registry on February 5, 2020. The provider is doing business as Bella Rose Skin Care And Wellness Center.

Where is Bella Rose Skin Care PLLC located?

Bella Rose Skin Care PLLC is located at 114 E Oldfield St, Alpena, MI 49707. The listed phone number is (989) 464-1883.

What is Bella Rose Skin Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Bella Rose Skin Care PLLC enrolled in Medicare?

Yes. Bella Rose Skin Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bella Rose Skin Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Bella Rose Skin Care PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bella Rose Skin Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2181464) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bella Rose Skin Care PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Bella Rose Skin Care PLLC 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 Bella Rose Skin Care PLLC was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.