HOLLY L ROBERTSON ROSE APN
NPI 1952482549
Nurse Practitioner - Psychiatric/Mental Health in Cookeville, TN

Q: What is Holly Robertson Rose's NPI number?

The NPI number for Holly Robertson Rose is 1952482549. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is Holly Robertson Rose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment

665 S JEFFERSON AVE, COOKEVILLE, TN 38501(931) 528-0051(931) 528-0021 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Holly L Robertson Rose Apn NPPES

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

HOLLY L ROBERTSON ROSE APN (NPI 1952482549) is an individual psychiatric/mental health provider in Cookeville, Tennessee, licensed in Tennessee (11812) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2005).

NPPES Registry Identity

NPI1952482549

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameHOLLY L ROBERTSON ROSECredential: APN

Location Address665 S JEFFERSON AVECookeville, TN 38501-4011

Mailing Address118 N Church StMurfreesboro, TN 37130-3636 · (615) 278-2241 · Fax (615) 904-9182

Phone(931) 528-0051

Fax(931) 528-0021

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2005

Enumeration DateOctober 18, 2006

Last NPPES UpdateMarch 15, 2017

✔ NPI 1952482549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TN · 11812

665 S JEFFERSON AVE, Cookeville, TN 38501

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Other Identifiers 2

Medicare UPINQ67420TN

Medicare PIN103I896365TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and more.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

Holly L Robertson Rose Apn 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 ID2769491026

PECOS Enrollment IDI20060413000597

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 Holly Robertson Rose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Magnolia Mental Health And Wellness LLC

0.5 mi

Psychiatric/Mental Health

420 S LOWE AVE STE 20
Cookeville, TN 38501

Reassigned Medicare billing, Tennessee enrollment
4 clinicians in this Medicare group

NPI 1699557116 (931) 239-4039

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 38501 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

LINDSEY MATHENY

Case Manager/Care Coordinator