CHRISTOPHER JOE LA ROSE (FNP, ANP, NP) – Emergency Medicine Physician, NPI 1033780739

CHRISTOPHER JOE LA ROSE (FNP, ANP, NP) is a healthcare provider. based in Gordon, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP, ANP, NP. They hold a License No. 20211016497 (MO). The NPI Number for CHRISTOPHER JOE LA ROSE (FNP, ANP, NP) is 1033780739

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER JOE LA ROSE (FNP, ANP, NP)
NPI
1033780739
Phone
(417) 231-1210
Address
PO BOX 481
Enumeration Date
5 July 2021
Last Update Date
8 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3082820401
Graduation Year
2021 (5 years ago)
PAC ID
9931507787
Group Practice PAC ID
3072403575
Professional Enrollment ID
I20211007002845
Address ID
NE693431123GO300XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,112 NURSE PRACTITIONER in NE

Provider Addresses for CHRISTOPHER JOE LA ROSE (FNP, ANP, NP)

  • PO BOX 481

    GORDON, NE 693430481

    Phone: (417) 231-1210

    Type: Mailing

  • 300 E 8TH ST

    GORDON, NE 693431199

    Phone: (308) 282-0401

    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: 2021-10-07

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
I20211007002845INurse PractitionerNETBD

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 69343)

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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: 3072403575View full group profile

Reviews

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Frequently asked questions

Does CHRISTOPHER JOE LA ROSE (FNP, ANP, NP) have a public NPI I can cite?
Public records show CHRISTOPHER JOE LA ROSE (FNP, ANP, NP) under NPI 1033780739.
Is CHRISTOPHER JOE LA ROSE (FNP, ANP, NP) currently accepting referrals based on NPI status?
Registry metadata lists CHRISTOPHER JOE LA ROSE (FNP, ANP, NP) as active.
Which specialty label fits CHRISTOPHER JOE LA ROSE (FNP, ANP, NP)?
NPPES ties CHRISTOPHER JOE LA ROSE (FNP, ANP, NP) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is CHRISTOPHER JOE LA ROSE (FNP, ANP, NP) tied to Gordon, Nebraska?
If you are local to Gordon, Nebraska, CHRISTOPHER JOE LA ROSE (FNP, ANP, NP) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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