MRS. KATIE MICHELLE ROSE (PA-C) – Physician Assistant, NPI 1023642949
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,649 PHYSICIAN ASSISTANT in IA
Provider Addresses for MRS. KATIE MICHELLE ROSE (PA-C)
9428 GREENBELT DR
URBANDALE, IA 503227452
Phone: (515) 979-9508
Type: Mailing
3200 GRAND AVE
DES MOINES, IA 503124104
Phone: (515) 271-1569
Type: Location
1639 N ALPINE RD STE 360
ROCKFORD, IL 611071440
Phone: (515) 979-9508
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $325.
Total Amount is formed as General ($325) + Research ($0) + Ownership ($0) = $325.
Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($161).
Total Amount
$325
General + Research + Ownership
Payments
7
Total payment records
General Amount
$325
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galderma Laboratories, L.P. | $161 |
| ABBVIE INC. | $88 |
| Hologic Sales and Service, LLC | $30 |
| Amgen Inc. | $27 |
| Bausch Health US, LLC | $19 |
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: 2023-12-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231221003271 | I | Physician Assistant | IA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17000 | Destruction of precancer skin growth, 1 growth | 16 | 16 | $0 |
Insurance plans in this area (ZIP 50322)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IA | |
| - | IA |
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