MRS. CHARLIE CLUSHETTEA ROSE (APRN) – Family Nurse Practitioner, NPI 1245996644
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
Provider Addresses for MRS. CHARLIE CLUSHETTEA ROSE (APRN)
811 FAIRVIEW AVE
BOWLING GREEN, KY 421014969
Phone: (270) 904-7029
Fax: (270) 826-0212
Type: Location
3042 NATURAL WAY
BOWLING GREEN, KY 421014492
Phone: (270) 303-3035
Type: Mailing
944 FIELDS DR STE 102
BOWLING GREEN, KY 421045381
Phone: (270) 904-7029
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $818.
Total Amount is formed as General ($818) + Research ($0) + Ownership ($0) = $818.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ViiV Healthcare Company ($558).
Total Amount
$818
General + Research + Ownership
Payments
47
Total payment records
General Amount
$818
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $558 |
| Gilead Sciences, Inc. | $215 |
| Theratechnologies Inc. | $24 |
| Janssen Biotech, Inc. | $21 |
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: 2022-05-04
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 |
|---|---|---|---|---|
| I20220504001592 | I | Nurse Practitioner | KY | 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 42101)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| Nurse Practitioner | IN | |
| - | KY |
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.