ARLENE ARETHA TAYLOR ROSE (MSN, PMHNP-BC, CCRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1174993604
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for ARLENE ARETHA TAYLOR ROSE (MSN, PMHNP-BC, CCRN)
17709 CHATSWORTH ST
GRANADA HILLS, CA 913445675
Phone: (424) 333-8418
Fax: (818) 450-0611
Type: Mailing
8453 FIR DR APT D
RANCHO CUCAMONGA, CA 917304160
Phone: (818) 473-0156
Fax: (641) 207-4228
Type: Location
113 N SAN VICENTE BLVD STE 253
BEVERLY HILLS, CA 902112329
Phone: (424) 209-4500
Fax: (818) 450-0611
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: 2026-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170714002511 | I | Nurse Practitioner | CA | TBD |
| I20260109000527 | I | Nurse Practitioner | TX | TBD |
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.
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 91344)
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