LAUREN ROSE (DO) – Family Medicine Physician, NPI 1366977340
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
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Provider Addresses for LAUREN ROSE (DO)
Beaumont Boulevard, Southfield, Oakland County, Michigan, 48034, United States
SOUTHFIELD, MI 480333849
Phone: (947) 522-1863
Fax: (947) 522-0307
Type: Mailing
Merriman Road, Westland, Wayne County, Michigan, 48135, United States
WESTLAND, MI 481865540
Phone: (734) 727-1000
Fax: (734) 727-1045
Type: Location
323 S MINNESOTA ST
CROOKSTON, MN 567161601
Phone: (218) 281-9595
Fax: (218) 585-6142
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-07-29
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 |
|---|---|---|---|---|
| I20210729001002 | I | Family Practice | MN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90662 | Influenza vaccine split virus, preservative free | 16 | 16 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 14 | 14 | $0 |
Insurance plans in this area (ZIP 48033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Pain Management, Pain Management, Anesthesiology, Critical Care (Intensivists), Internal Medicine | ND | |
| Physical Therapist In Private Practice | MN | |
| Orthopedic Surgery | MN | |
| Nurse Practitioner | SD | |
| - | MN | |
| - | ND | |
| Nurse Practitioner | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ND | |
| Hand Surgery, Orthopedic Surgery | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN |
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