REBECCA ANN ROSE (PA) – Physician Assistant, NPI 1235102336

REBECCA ANN ROSE (PA) is a healthcare provider. based in Saco, Maine. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA2196 (ME). The NPI Number for REBECCA ANN ROSE (PA) is 1235102336

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA ANN ROSE (PA)
NPI
1235102336
Phone
(207) 294-5600
Address
655 Main St
Enumeration Date
9 February 2006
Last Update Date
7 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
6002867884
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20210623001702
Address ID
ME040732642SA25XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

1,167 PHYSICIAN ASSISTANT in ME

Provider Addresses for REBECCA ANN ROSE (PA)

  • 655 Main St

    Saco, ME 040721699

    Phone: (207) 294-5600

    Fax: (207) 294-3565

    Type: Location

  • 2 Livewell Dr

    Kennebunk, ME 040436762

    Phone: (207) 467-6900

    Fax: (207) 467-6921

    Type: Location

  • 10 Goodall Dr Ste 900

    East Waterboro, ME 040305233

    Phone: (207) 490-7505

    Fax: (207) 490-7529

    Type: Location

  • 1976 White Mountain Hwy Ste 105

    North Conway, NH 038605147

    Phone: (603) 356-4940

    Fax: (603) 371-3250

    Type: Location

  • 25A JUNE ST STE 11

    SANFORD, ME 040732642

    Phone: (207) 490-7900

    Fax: (207) 490-7969

    Type: Location

  • 3 MAPLEWOOD DR

    WOLFEBORO, NH 038944024

    Phone: (603) 455-4037

    Type: Mailing

  • 25A JUNE ST

    SANFORD, ME 040732642

    Phone: (207) 490-7900

    Type: Location

  • Laconia Post Office, Church Street, Laconia, Belknap County, New Hampshire, 03246, United States

    LACONIA, NH 032471327

    Phone: (603) 524-3211

    Fax: (603) 527-7038

    Type: Mailing

  • 85, Spring Street, Laconia, Belknap County, New Hampshire, 03246, United States

    LACONIA, NH 032463113

    Phone: (603) 527-2969

    Fax: (603) 527-2858

    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: 2021-06-23

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
I20050209000552IPhysician AssistantNHTBD
I20210623001702IPhysician AssistantMETBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 04072)

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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: 7517860588View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for REBECCA ANN ROSE (PA)?
REBECCA ANN ROSE (PA) — NPI 1235102336 — is the standard way to identify this listing.
Is REBECCA ANN ROSE (PA) listed as active for patients and plans?
The listing shows REBECCA ANN ROSE (PA) as active in the NPI system.
What is REBECCA ANN ROSE (PA)'s specialty?
The listing groups REBECCA ANN ROSE (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is REBECCA ANN ROSE (PA) based?
REBECCA ANN ROSE (PA) is tied to Saco, Maine in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
10 practice locations appear in the available data.