JOSEPH JR. ROSE (PA-C) – Physician Assistant, NPI 1568844850

JOSEPH JR. ROSE (PA-C) is a healthcare provider. based in Maumee, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601012275 (MI). The NPI Number for JOSEPH JR. ROSE (PA-C) is 1568844850

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH JR. ROSE (PA-C)
NPI
1568844850
Phone
(419) 383-2777
Address
3100 Main St Ste 705
Enumeration Date
23 June 2015
Last Update Date
24 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372987751
Graduation Year
2014 (12 years ago)
PAC ID
0648226589
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20150723009696
Address ID
OH454292405KE4441XAVEX400

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Secure Messaging
jrose@direct.iuhealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness95
Years active:10State licenses:3Other names

5,036 PHYSICIAN ASSISTANT in OH

Provider Addresses for JOSEPH JR. ROSE (PA-C)

  • 3100 Main St Ste 705

    Maumee, OH 435379867

    Phone: (419) 383-2777

    Fax: (419) 383-2731

    Type: Location

  • 5705 Monclova Rd

    Maumee, OH 435371875

    Phone: (419) 893-3321

    Type: Location

  • 601 John St

    Kalamazoo, MI 490075341

    Phone: (269) 341-7140

    Type: Location

  • 1701 N Senate Blvd

    Indianapolis, IN 462021239

    Phone: (317) 944-5000

    Type: Location

  • 1 SEAGATE STE 800

    TOLEDO, OH 436041558

    Phone: (419) 479-5386

    Fax: (419) 479-5384

    Type: Mailing

  • 5300 HARROUN RD STE 118

    SYLVANIA, OH 435602146

    Phone: (419) 479-5386

    Fax: (419) 479-5384

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Madrigal Pharmaceuticals ($128).

Total Amount

$128

General + Research + Ownership

Payments

1

Total payment records

General Amount

$128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Madrigal Pharmaceuticals$128
View all Open Payments →|Open Payments Risk Radar →

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: 2025-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20150723009696IPhysician AssistantOHTBD
I20250619002171IPhysician AssistantMITBD
I20250630003631IPhysician AssistantINTBD

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 43537)

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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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

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Frequently asked questions

Is JOSEPH JR. ROSE (PA-C) listed with a National Provider Identifier?
Yes — JOSEPH JR. ROSE (PA-C) has NPI 1568844850 on file in the registry.
Is JOSEPH JR. ROSE (PA-C) still an active registrant?
JOSEPH JR. ROSE (PA-C) carries an active NPI according to the public dataset.
How would a patient describe JOSEPH JR. ROSE (PA-C)'s focus?
For JOSEPH JR. ROSE (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOSEPH JR. ROSE (PA-C)?
Travel planning: use Maumee, Ohio as the reference point for JOSEPH JR. ROSE (PA-C), then confirm.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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