MR. ERIC PAUL ROSE (PA-C) – Physician Assistant, NPI 1083123012

MR. ERIC PAUL ROSE (PA-C) is a healthcare provider. based in Fenton, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601008415 (MI). The NPI Number for MR. ERIC PAUL ROSE (PA-C) is 1083123012

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. ERIC PAUL ROSE (PA-C)
NPI
1083123012
Phone
(989) 708-7801
Address
3444 COTTAGE COVE DR
Enumeration Date
21 September 2017
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8103050061
Graduation Year
2017 (9 years ago)
PAC ID
9032479613
Group Practice PAC ID
8325368467
Professional Enrollment ID
I20180130000375
Address ID
MI484467627LA1739XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for MR. ERIC PAUL ROSE (PA-C)

  • 3444 COTTAGE COVE DR

    FENTON, MI 484301300

    Phone: (989) 708-7801

    Type: Mailing

  • 601 John St

    Kalamazoo, MI 490075341

    Phone: (269) 341-7654

    Type: Location

  • Bronson Methodist Hospital, 601, John Street, Kalamazoo, Kalamazoo County, Michigan, 49007, United States

    KALAMAZOO, MI 490075341

    Phone: (269) 341-7654

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $391.

Total Amount is formed as General ($391) + Research ($0) + Ownership ($0) = $391.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($298).

Total Amount

$391

General + Research + Ownership

Payments

9

Total payment records

General Amount

$391

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2018-01-30

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
I20180130000375IPhysician AssistantMITBD

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 48430)

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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: 8325368467View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Internal MedicineMI

Reviews

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Frequently asked questions

How do I look up MR. ERIC PAUL ROSE (PA-C) by NPI?
Use NPI 1083123012 when you need to reference MR. ERIC PAUL ROSE (PA-C) in forms, claims, or directories.
Does this profile mean MR. ERIC PAUL ROSE (PA-C) is currently active?
Yes — MR. ERIC PAUL ROSE (PA-C) appears active in the national provider directory.
What field does MR. ERIC PAUL ROSE (PA-C) work in?
You can think of MR. ERIC PAUL ROSE (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place MR. ERIC PAUL ROSE (PA-C)?
The snapshot lists Fenton, Michigan for MR. ERIC PAUL ROSE (PA-C); download NPPES for the complete set.
How can I contact MR. ERIC PAUL ROSE (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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