DR. SHAYLA S ROSE (M.D.) – Obstetrics & Gynecology Physician, NPI 1174584791

DR. SHAYLA S ROSE (M.D.) is a healthcare provider. based in Saint charles, Missouri. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 2000152532 (MO). The NPI Number for DR. SHAYLA S ROSE (M.D.) is 1174584791

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAYLA S ROSE (M.D.)
NPI
1174584791
Phone
(636) 669-2268
Address
1551 WALL ST
Enumeration Date
31 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6366255200
Graduation Year
1998 (28 years ago)
PAC ID
7416051404
Group Practice PAC ID
7810800737
Professional Enrollment ID
I20070402000013
Address ID
MO633671366LA100XXPLZX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

928 OBSTETRICS/GYNECOLOGY in MO

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Provider Addresses for DR. SHAYLA S ROSE (M.D.)

  • 1551, Wall Street, Saint Charles, Saint Charles County, Missouri, 63303, United States

    SUITE 310

    SAINT CHARLES, MO 633033539

    Phone: (636) 669-2268

    Fax: (636) 669-2401

    Type: Mailing

  • 300, Medical Plaza, Lake Saint Louis, Saint Charles County, Missouri, 63367, United States

    LAKE ST LOUIS, MO 633671481

    Phone: (636) 625-2662

    Fax: (636) 669-2401

    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: 2007-04-02

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
I20070402000013IObstetrics/GynecologyMOTBD

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 63303)

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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: 7810800737View full group profile
NameSpecialtyState
Nurse PractitionerMO
Internal MedicineMO
-MO
N E U R O L O G YMO
Plastic And Reconstructive SurgeryOH
A N E S T H E S I O L O G YMO
-MO
-MO
Nurse PractitionerMO
-MO

Reviews

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Frequently asked questions

What identifier follows DR. SHAYLA S ROSE (M.D.) across health systems?
The NPI 1174584791 uniquely identifies DR. SHAYLA S ROSE (M.D.) in U.S. healthcare data.
Should I treat DR. SHAYLA S ROSE (M.D.) as an active provider?
Patients and plans typically see DR. SHAYLA S ROSE (M.D.) as active in the national extract.
What does the directory say DR. SHAYLA S ROSE (M.D.) does?
Insurance directories may phrase it differently, but here DR. SHAYLA S ROSE (M.D.) maps to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SHAYLA S ROSE (M.D.)?
DR. SHAYLA S ROSE (M.D.) is associated with Saint Charles, Missouri in the same public data insurers reference.
Who maintains DR. SHAYLA S ROSE (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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