LIONEL W ROSEN (M.D.) – Psychiatry Physician, NPI 1689658056

LIONEL W ROSEN (M.D.) is a healthcare provider. based in East lansing, Michigan. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 4301029268 (MI). The NPI Number for LIONEL W ROSEN (M.D.) is 1689658056

Main info

Male
61 Years Of Experience
Accepts Medicare Assignment
Name
LIONEL W ROSEN (M.D.)
NPI
1689658056
Phone
(517) 884-2976
Address
804 SERVICE RD
Enumeration Date
30 November 2005
Last Update Date
23 June 2023

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
5173533070
Graduation Year
1965 (61 years ago)
PAC ID
3476687930
Group Practice PAC ID
8628404936
Professional Enrollment ID
I20100819000169
Address ID
MI488246410EA909XXRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,213 PSYCHIATRY in MI

Provider Addresses for LIONEL W ROSEN (M.D.)

  • 804, Service Road, East Lansing, Ingham County, Michigan, 48824, United States

    A201

    EAST LANSING, MI 488247015

    Phone: (517) 884-2976

    Fax: (517) 432-3928

    Type: Mailing

  • 804 SERVICE RD # A109B

    EAST LANSING, MI 488247015

    Phone: (517) 884-2976

    Fax: (517) 432-3928

    Type: Mailing

  • 909 FEE ROAD ROOM B119

    EAST LANSING, MI 488243603

    Phone: (517) 353-3070

    Fax: (517) 432-3603

    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: 2010-08-19

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
I20100819000169IPsychiatryMITBD

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 48824)

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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: 8628404936View full group profile
NameSpecialtyState
Osteopathic Manipulative MedicineMI
Osteopathic Manipulative MedicineMI
Family PracticeMI
Osteopathic Manipulative MedicineMI
-MI
Physical Medicine And Rehabilitation, Osteopathic Manipulative MedicineMI
Osteopathic Manipulative MedicineMI
-MI
Internal MedicineMI
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

Does LIONEL W ROSEN (M.D.) have a public NPI I can cite?
Public records show LIONEL W ROSEN (M.D.) under NPI 1689658056.
Is LIONEL W ROSEN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists LIONEL W ROSEN (M.D.) as active.
How should patients interpret LIONEL W ROSEN (M.D.)'s specialty?
The extract shows Psychiatry Physician for LIONEL W ROSEN (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to LIONEL W ROSEN (M.D.)?
The directory associates LIONEL W ROSEN (M.D.) with East Lansing, Michigan. Check all listed addresses for suites or satellite offices.
Who maintains LIONEL W ROSEN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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