LASASHA ROSALES (APRN) – Nurse Practitioner, NPI 1689543241

LASASHA ROSALES (APRN) is a healthcare provider. based in Liberal, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 84931 (KS). The NPI Number for LASASHA ROSALES (APRN) is 1689543241

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
LASASHA ROSALES (APRN)
NPI
1689543241
Phone
(620) 629-6739
Address
717 E SPRUCE ST
Enumeration Date
3 November 2025
Last Update Date
3 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6206240702
Graduation Year
2025 (1 year ago)
PAC ID
0648766907
Group Practice PAC ID
7517941651
Professional Enrollment ID
I20260107000273
Address ID
KS679012467LI555XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for LASASHA ROSALES (APRN)

  • 717 E SPRUCE ST

    LIBERAL, KS 679014162

    Phone: (620) 629-6739

    Fax: (620) 629-6523

    Type: Mailing

  • 555 W 15TH ST

    LIBERAL, KS 679012461

    Phone: (620) 624-0702

    Fax: (620) 624-3402

    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: 2026-01-07

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
I20260107000273INurse PractitionerKSTBD

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 67901)

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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: 7517941651View full group profile
NameSpecialtyState
Nurse PractitionerKS
General SurgeryKS
Nurse PractitionerKS
Nurse PractitionerKS
Orthopedic SurgeryKS
Certified Registered Nurse Anesthetist (Crna)MO
Nurse PractitionerOK
Diagnostic RadiologyANDHRA PRADESH
Nurse PractitionerKS
Diagnostic RadiologyCA

Reviews

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Frequently asked questions

Does LASASHA ROSALES (APRN) have a public NPI I can cite?
Public records show LASASHA ROSALES (APRN) under NPI 1689543241.
Does the public listing show LASASHA ROSALES (APRN) as active?
LASASHA ROSALES (APRN)'s NPI record reflects an active status in NPPES.
What type of care does LASASHA ROSALES (APRN) provide?
LASASHA ROSALES (APRN)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to LASASHA ROSALES (APRN)?
LASASHA ROSALES (APRN) shows a connection to Liberal, Kansas in registry-derived data.
Who maintains LASASHA ROSALES (APRN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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