GRACE LEYSON ROSETE-LASALA – Nurse Practitioner, NPI 1184734980

GRACE LEYSON ROSETE-LASALA is a healthcare provider. based in Allen park, Michigan. specializing in Nurse Practitioner. They hold a License No. 4704230094 (MI). The NPI Number for GRACE LEYSON ROSETE-LASALA is 1184734980

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
GRACE LEYSON ROSETE-LASALA
NPI
1184734980
Phone
(313) 928-4475
Address
9938 ALLEN POINT DR
Enumeration Date
30 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
5991703563
Group Practice PAC ID
2264338532
Professional Enrollment ID
I20061114000275
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for GRACE LEYSON ROSETE-LASALA

  • 9938, Allen Point Drive, Allen Pointe, Allen Park, Wayne County, Michigan, 48101, United States

    ALLEN PARK, MI 48101

    Phone: (313) 928-4475

    Type: Mailing

  • 26001, Ford Road, Dearborn Heights, Wayne County, Michigan, 48127, United States

    DEARBORN HEIGHTS, MI 48127

    Phone: (313) 274-4600

    Fax: (313) 274-4079

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: UCB, Inc. ($33).

Total Amount

$75

General + Research + Ownership

Payments

4

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

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: 2006-11-14

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
I20061114000275INurse PractitionerMITBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes10430$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes7326$0
99497Advance care planning, first 30 minutes3021$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2015$0
View full utilization report →

Insurance plans in this area (ZIP 48101)

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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: 2264338532View full group profile

Reviews

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Frequently asked questions

Does GRACE LEYSON ROSETE-LASALA share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GRACE LEYSON ROSETE-LASALA uses 1184734980.
Is GRACE LEYSON ROSETE-LASALA listed as active for patients and plans?
The listing shows GRACE LEYSON ROSETE-LASALA as active in the NPI system.
What is GRACE LEYSON ROSETE-LASALA's specialty?
The listing groups GRACE LEYSON ROSETE-LASALA with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does GRACE LEYSON ROSETE-LASALA list a practice location?
Patients near Allen Park, Michigan may find GRACE LEYSON ROSETE-LASALA in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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