BRANDON C ROOSE (APRN, FNP-BC) – Family Nurse Practitioner, NPI 1902360670

BRANDON C ROOSE (APRN, FNP-BC) is a healthcare provider. based in Oxford, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-BC. They hold a License No. 4704280333 (MI). The NPI Number for BRANDON C ROOSE (APRN, FNP-BC) is 1902360670

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON C ROOSE (APRN, FNP-BC)
NPI
1902360670
Phone
(989) 329-9247
Address
617 THORNEHILL TRL
Enumeration Date
28 January 2019
Last Update Date
30 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9897726700
Graduation Year
2018 (8 years ago)
PAC ID
9537401864
Group Practice PAC ID
6103733092
Professional Enrollment ID
I20190507000107
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for BRANDON C ROOSE (APRN, FNP-BC)

  • 617, Thornehill Trail, Oxford, Oakland County, Michigan, 48371, United States

    OXFORD, MI 483715104

    Phone: (989) 329-9247

    Type: Mailing

  • 7115, Cade Road, Brown City, Goodland Township, Lapeer County, Michigan, 48444, United States

    BROWN CITY, MI 484169778

    Phone: (810) 346-2757

    Type: Location

  • 7115 Cade Rd

    Brown City, MI 484169778

    Phone: (810) 346-2757

    Type: Location

  • 224 PARK AVE

    FRANKFORT, MI 496359658

    Phone: (231) 352-2990

    Type: Mailing

  • 9975 W OTTAWA RVE.

    EMPIRE, MI 49630

    Phone: (231) 835-2088

    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: 2019-05-07

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
I20190507000107INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48371)

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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: 6103733092View full group profile
NameSpecialtyState
General SurgeryMI
Nurse PractitionerMI
Physician AssistantMI
U R O L O G YTN
Nurse PractitionerMI
Nurse PractitionerMI
-MI
Internal MedicineMI
Family PracticeMI
Infectious Disease, Internal MedicineMI

Reviews

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Frequently asked questions

How do I look up BRANDON C ROOSE (APRN, FNP-BC) by NPI?
Use NPI 1902360670 when you need to reference BRANDON C ROOSE (APRN, FNP-BC) in forms, claims, or directories.
Does this profile mean BRANDON C ROOSE (APRN, FNP-BC) is currently active?
Yes — BRANDON C ROOSE (APRN, FNP-BC) appears active in the national provider directory.
What field does BRANDON C ROOSE (APRN, FNP-BC) work in?
You can think of BRANDON C ROOSE (APRN, FNP-BC) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRANDON C ROOSE (APRN, FNP-BC)?
The page summarizes Oxford, Michigan for BRANDON C ROOSE (APRN, FNP-BC); expand the address list for detail.
Is BRANDON C ROOSE (APRN, FNP-BC) a real provider?
This page reflects official NPPES data for NPI 1902360670. Always confirm identity and privileges with the practice and licensing boards.

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