AMY ELIZABETH ROSE – Nurse Practitioner, NPI 1467230656

AMY ELIZABETH ROSE is a healthcare provider. based in Rainbow city, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-146017 (AL). The NPI Number for AMY ELIZABETH ROSE is 1467230656

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
AMY ELIZABETH ROSE
NPI
1467230656
Phone
(256) 504-7882
Address
108 ROSE RD
Enumeration Date
19 September 2023
Last Update Date
19 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2564944000
Graduation Year
2023 (3 years ago)
PAC ID
5395194450
Group Practice PAC ID
4183078561
Professional Enrollment ID
I20231214001060
Address ID
AL359031195GA1007XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for AMY ELIZABETH ROSE

  • 108 ROSE RD

    RAINBOW CITY, AL 359064802

    Phone: (256) 504-7882

    Type: Mailing

  • 1007 GOODYEAR AVE

    GADSDEN, AL 359031100

    Phone: (256) 494-4102

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231214001060INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35906)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183078561View full group profile
NameSpecialtyState
Family PracticeTN
A N E S T H E S I O L O G YAL
Emergency Medicine, Family PracticeFL
A N E S T H E S I O L O G YAL
Emergency MedicineAR
Certified Registered Nurse Anesthetist (Crna)AL
Emergency MedicineAL
Nurse PractitionerAL
Emergency MedicineSC
Hospitalist, Family PracticeAL

Reviews

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Frequently asked questions

How is AMY ELIZABETH ROSE identified in CMS data?
CMS-hosted NPPES data lists AMY ELIZABETH ROSE with NPI 1467230656.
Can I rely on AMY ELIZABETH ROSE being an active provider?
As of the registry snapshot, AMY ELIZABETH ROSE is marked active.
What healthcare role does AMY ELIZABETH ROSE hold?
Scheduling teams often label AMY ELIZABETH ROSE under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for AMY ELIZABETH ROSE?
AMY ELIZABETH ROSE's geographic hint is Rainbow City, Alabama in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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