DR. JENNIFER LYNN ROSE (M.D.) – Anesthesiology Physician, NPI 1558551119

DR. JENNIFER LYNN ROSE (M.D.) is a healthcare provider. based in Rockford, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD036803 (DC). The NPI Number for DR. JENNIFER LYNN ROSE (M.D.) is 1558551119

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER LYNN ROSE (M.D.)
NPI
1558551119
Phone
(815) 971-4000
Address
2400 N Rockton Ave
Enumeration Date
30 July 2007
Last Update Date
19 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159715000
Graduation Year
2002 (24 years ago)
PAC ID
0840368643
Group Practice PAC ID
2567374036
Professional Enrollment ID
I20130131000400
Address ID
IL611033655RO2400XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:18State licenses:2Digital endpointsOther names

2,631 ANESTHESIOLOGY in IL

Provider Addresses for DR. JENNIFER LYNN ROSE (M.D.)

  • 2400 N Rockton Ave

    Rockford, IL 611033655

    Phone: (815) 971-4000

    Fax: (815) 971-9985

    Type: Location

  • 875 S Route 31

    Crystal Lake, IL 600148190

    Phone: (779) 220-5500

    Type: Location

  • 901 Grant St

    Harvard, IL 600331821

    Phone: (815) 943-5431

    Type: Location

  • 1740 W Taylor St

    Chicago, IL 606127232

    Phone: (312) 996-4020

    Type: Location

  • 111 Michigan Ave NW

    Washington, DC 200102978

    Phone: (202) 884-2025

    Type: Location

  • 8201 E RIVERSIDE BLVD

    ROCKFORD, IL 611142300

    Phone: (815) 971-4000

    Type: Location

  • University of Illinois at Chicago Hospital (UICH), 1740, West Taylor Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States

    CHICAGO, IL 606127232

    Phone: (312) 996-4020

    Type: Mailing

  • 29624 NETWORK PL

    CHICAGO, IL 606731296

    Phone: (605) 756-6278

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Micro-tech Endoscopy USA, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-01-31

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
I20130131000400IAnesthesiologyILTBD

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 61103)

Loading plans...

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: 2567374036View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is DR. JENNIFER LYNN ROSE (M.D.)'s NPI number?
DR. JENNIFER LYNN ROSE (M.D.)'s NPI is 1558551119 — the number used across U.S. healthcare to identify this provider.
Would DR. JENNIFER LYNN ROSE (M.D.) appear as active to a payer?
You can treat DR. JENNIFER LYNN ROSE (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. JENNIFER LYNN ROSE (M.D.)?
DR. JENNIFER LYNN ROSE (M.D.) is associated with Anesthesiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. JENNIFER LYNN ROSE (M.D.) associated with Rockford?
Public fields place DR. JENNIFER LYNN ROSE (M.D.) around Rockford, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

8201 E Riverside Blvd
NPI: 1659373637

DR. MICHAEL D TIBLANDI (DO)

Anesthesiology Physician
91, I 74, Peoria, Peoria County, Illinois, 61636, United States
NPI: 1134118235

DR. RONALD PETER OBERFOELL (D.O.)

Anesthesiology Physician
Mercyhealth Hospital–Rockton Avenue, 2400, North Rockton Avenue, Rockford, Rockford Township, Winnebago County, Illinois, 61103, United States
NPI: 1760472898

THOMAS K DAHLBERG (DO)

Pain Medicine (Anesthesiology) Physician
2902 MCFARLAND RD STE 100
NPI: 1801856380

GARETH A EBERLE (MD)

Anesthesiology Physician
6785, Weaver Road, Rockford, Winnebago County, Illinois, 61114, United States
NPI: 1982664462

EDWARD D FAUSEL (MD)

Anesthesiology Physician
6785, Weaver Road, Rockford, Winnebago County, Illinois, 61114, United States
NPI: 1790745289

ROGER A BOHN (MD)

Anesthesiology Physician
Rockford Orthopedic, 5875, East Riverside Boulevard, Rockford, Winnebago County, Illinois, 61114, United States
NPI: 1225098791

PATRICIA J HARLEY (MD)

Anesthesiology Physician
6785, Weaver Road, Rockford, Winnebago County, Illinois, 61114, United States
NPI: 1386604809

JOHN J KEITH (MD)

Anesthesiology Physician
6785, Weaver Road, Rockford, Winnebago County, Illinois, 61114, United States
NPI: 1538129069