COLLEEN ROSE (NP) – Nurse Practitioner, NPI 1871753566

COLLEEN ROSE (NP) is a healthcare provider. based in Redlands, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. NP 18595 (CA). The NPI Number for COLLEEN ROSE (NP) is 1871753566

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
COLLEEN ROSE (NP)
NPI
1871753566
Phone
(909) 580-6210
Address
PO BOX 670
Enumeration Date
16 June 2008
Last Update Date
5 November 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9282995299
Graduation Year
2008 (18 years ago)
PAC ID
6305901000
Group Practice PAC ID
3274846001
Professional Enrollment ID
I20200227002532
Address ID
AZ864427860BU3003X95XX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

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Provider Addresses for COLLEEN ROSE (NP)

  • 670, Peony Drive, Grand Junction, Mesa County, Colorado, 81507, United States

    REDLANDS, CA 923730221

    Phone: (909) 580-6210

    Fax: (909) 580-1363

    Type: Mailing

  • 400, Pepper Avenue, West Colton, Colton, San Bernardino County, California, 92324, United States

    DEPT. GENERAL SURGERY MOD#3

    COLTON, CA 923241801

    Phone: (909) 580-6210

    Fax: (909) 580-1363

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $1,156.

Total Amount is formed as General ($1,156) + Research ($0) + Ownership ($0) = $1,156.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Boston Scientific Corporation ($464).

Total Amount

$1,156

General + Research + Ownership

Payments

46

Total payment records

General Amount

$1,156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-02-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090212000436INurse PractitionerCATBD
I20200227002532INurse PractitionerAZTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95004Test for allergy using allergenic extract1,12014$0
99214Established patient office or other outpatient visit, 30-39 minutes815508$0
99213Established patient office or other outpatient visit, 20-29 minutes140124$0
99204New patient office or other outpatient visit, 45-59 minutes7676$0
99406Smoking and tobacco use intensive counseling, 4-10 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 92373)

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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: 3274846001View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists)NY
Nurse PractitionerNV
Nurse PractitionerNV
Hospice/Palliative Care, Critical Care (Intensivists)NV
Nurse PractitionerNV
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists)NV
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineAZ
Nurse PractitionerNV

Reviews

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Frequently asked questions

What identifier follows COLLEEN ROSE (NP) across health systems?
The NPI 1871753566 uniquely identifies COLLEEN ROSE (NP) in U.S. healthcare data.
Does the public listing show COLLEEN ROSE (NP) as active?
COLLEEN ROSE (NP)'s NPI record reflects an active status in NPPES.
Which specialty label fits COLLEEN ROSE (NP)?
NPPES ties COLLEEN ROSE (NP) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to COLLEEN ROSE (NP)?
COLLEEN ROSE (NP) shows a connection to Redlands, California in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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