VICKI L ROSE PA
NPI 1669451589
Physician Assistant - Medical in Mankato, MN

Active since January 10, 2006PECOS EnrolledAccepts Medicare Assignment
1230 E MAIN ST, MANKATO, MN 56002(507) 625-1811 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vicki L Rose Pa NPPES

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

VICKI L ROSE PA (NPI 1669451589) is an individual medical provider in Mankato, Minnesota, licensed in Minnesota (9544) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1669451589
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameVICKI L ROSECredential: PA
Location Address1230 E MAIN STMankato, MN 56002-8674
Mailing AddressPo Box 8674, 1230 E Main StMankato, MN 56002-8674 · (507) 625-1811
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 10, 2006
Last NPPES UpdateJuly 15, 2020
NPPES CertifiedJuly 15, 2020
NPI 1669451589 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 MN · 9544
1230 E MAIN ST, Mankato, MN 56002

Other Identifiers 8

Other0109946MN · Medica
Other57B74ROMN · Bcbs
Other2409706MN · Americas Ppo
OtherNA2951024933MN · Preferred One
Other140087MN · Ucare
Other41084933956001C220Champus
Medicaid741190100MN
OtherHP30956MN · Health Partners

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Vicki L Rose Pa 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 ID4082754528
PECOS Enrollment IDI20091215000179
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes 99335
This refers to a routine medical visit for an established patient living in a group care facility, custodial care, or assisted living. The visit typically lasts 25 minutes and includes a check-up and discussion about ongoing healthcare needs.
118 services105 patients
Follow-up nursing facility visit per day, typically 35 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
82 services73 patients
Follow-up nursing facility visit per day, typically 15 minutes 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
77 services31 patients
Follow-up nursing facility visit per day, typically 25 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
68 services29 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
57 services54 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
29 services23 patients

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers13 claims13 services$50.58 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers22 claims22 services$17.76 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers21 claims21 services$100.47 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers28 claims28 services$22.29 avg. paid by Medicare
Extra heavy duty wheelchair K0007
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$73.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Dietitian, Registered
1230 E MAIN ST, MANKATO CLINIC @ MAIN STREET
MANKATO, MN 56002
Nurse Practitioner
1230 E MAIN ST, MANKATO CLINIC AT MAIN STREET
MANKATO, MN 56002
Radiology (Diagnostic Radiology)
1230 E MAIN ST, MANKATO CLINIC @ MAIN STREET
MANKATO, MN 56002
Obstetrics & Gynecology
1230 E MAIN ST
MANKATO, MN 56002
Radiology (Diagnostic Radiology)
1230 E MAIN ST, MANKATO CLINIC LTD
MANKATO, MN 56002
Pediatrics
1230 E MAIN ST, MANKATO CLINIC
MANKATO, MN 56002
Nurse Practitioner
1230 E MAIN ST, MANKATO CLINIC AT MAIN STREET
MANKATO, MN 56002
Pediatrics
1230 E MAIN ST
MANKATO, MN 56002

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669451589, enumerated as an "individual" on January 10, 2006.

The provider is located at 1230 E MAIN ST MANKATO, MN 56002 and the phone number is (507) 625-1811.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medica, Sanford Health Plan, Medica Health. Please consult your insurance carrier or call the provider to verify.