DOUGLAS W ROSE NP
NPI 1700018504
Nurse Practitioner - Family in Farmington, MO
About Douglas W Rose Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUGLAS W ROSE NP (NPI 1700018504) is an individual family provider in Farmington, Missouri, licensed in Missouri (133621) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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
Douglas W Rose Np 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.
Medicare Billing Reassignments
3Medicare enrollment records show Douglas Rose reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Farmington, MO 63640
- Reassigned Medicare billing, Missouri enrollment
- 71 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 611 clinicians in this Medicare group
Chattanooga, TN 37403
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Southeastern Emergency Services Of Memphis PC
- 89 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 8
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Douglas Rose's NPI number?
The NPI number for Douglas Rose is 1700018504. It was assigned to this individual provider in the NPPES registry on August 13, 2009.
Where is Douglas Rose located?
Douglas Rose practices at 1106 Hazel Ln, Farmington, MO 63640. The listed phone number is (573) 756-6751.
What is Douglas Rose's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Douglas Rose enrolled in Medicare?
Yes. Douglas 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 Douglas Rose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Rose reassigns Medicare benefits to 3 organizations: Parkland Health Center (Farmington, MO), Physician Groups Lc (Saint Louis, MO) and Southeastern Emergency Services Of Memphis, P.C. (Chattanooga, TN). 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 Douglas Rose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Rose accept?
Health plans from UnitedHealthcare list Douglas 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 Douglas Rose was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Douglas W Rose, NP · NPI 1700018504
Family physician in Farmington, Missouri. Individual provider, active in the CMS NPPES registry since August 13, 2009.
## Identity
- **NPI:** 1700018504 (Entity type: Individual)
- **Enumerated:** August 13, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 133621 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1106 HAZEL LN, Farmington, MO 63640-1999
- **Phone:** (573) 756-6751 · **Fax:** (573) 756-6807
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Parkland Health Center (NPI 1922016112, Farmington, MO); Physician Groups Lc (NPI 1285664268, Saint Louis, MO); Southeastern Emergency Services Of Memphis, P.C. (NPI 1164454450, Chattanooga, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** September 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700018504) · Data from the CMS NPPES public registry.