JULIE ROSE (NP) – Family Nurse Practitioner, NPI 1104476779

JULIE ROSE (NP) is a healthcare provider. based in Canton, Michigan. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 4704324787 (MI). The NPI Number for JULIE ROSE (NP) is 1104476779

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JULIE ROSE (NP)
NPI
1104476779
Phone
Not provided
Address
45300 CHERRY HILL RD
Enumeration Date
16 September 2019
Last Update Date
3 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8107240591
Graduation Year
2019 (7 years ago)
PAC ID
7517299100
Group Practice PAC ID
1850442864
Professional Enrollment ID
I20191031001762
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for JULIE ROSE (NP)

  • 45300 CHERRY HILL RD

    CANTON, MI 481875073

    Phone:

    Type: Mailing

  • 6672, Newark Road, Imlay City, Attica Township, Lapeer County, Michigan, 48444, United States

    IMLAY CITY, MI 484449657

    Phone:

    Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 48187)

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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: 1850442864View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Family Practice, General Practice, Osteopathic Manipulative MedicineMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Where can patients find JULIE ROSE (NP)'s NPI?
You can confirm JULIE ROSE (NP) with NPI 1104476779; it appears in the national provider directory.
Is JULIE ROSE (NP) active in the national directory?
JULIE ROSE (NP)'s public NPI profile is in an active state.
Can you summarize JULIE ROSE (NP)'s specialty in plain language?
Clinically, the directory lists JULIE ROSE (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for JULIE ROSE (NP)?
We surface Canton, Michigan for JULIE ROSE (NP) based on available NPPES addresses.
What if Canton, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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