ROBERT EUGENE ROSE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1194721159

ROBERT EUGENE ROSE (CRNA) is a healthcare provider. based in Tulsa, Oklahoma. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R0044766 (OK). The NPI Number for ROBERT EUGENE ROSE (CRNA) is 1194721159

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT EUGENE ROSE (CRNA)
NPI
1194721159
Phone
(918) 494-0612
Address
6839 S CANTON AVE
Enumeration Date
23 June 2005
Last Update Date
30 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184940612
Graduation Year
1994 (32 years ago)
PAC ID
4183757677
Group Practice PAC ID
7911989017
Professional Enrollment ID
I20100804000795
Address ID
OK741363402TU6839XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

669 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OK

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Provider Addresses for ROBERT EUGENE ROSE (CRNA)

  • South Canton Avenue, White City, Tulsa, Tulsa County, Oklahoma, 74112, United States

    TULSA, OK 741363402

    Phone: (918) 494-0612

    Type: Location

  • 12202 E OAK DR

    CLAREMORE, OK 740195684

    Phone: (918) 342-0314

    Fax: (918) 481-5170

    Type: Mailing

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: 2010-08-04

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
I20100804000795ICertified Registered Nurse Anesthetist (Crna)OKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope1616$0
00840Anesthesia for other procedure on lower abdomen1313$0
00670Anesthesia for extensive surgery on spine1212$0
00812Anesthesia for exam of colon using an endoscope1212$0
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 74136)

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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: 7911989017View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OK
-OK
Certified Registered Nurse Anesthetist (Crna)OK
-OK
A N E S T H E S I O L O G YOK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
A N E S T H E S I O L O G YOK

Reviews

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Frequently asked questions

Is there an official ID for ROBERT EUGENE ROSE (CRNA) in U.S. healthcare records?
The official identifier for ROBERT EUGENE ROSE (CRNA) is NPI 1194721159.
Is ROBERT EUGENE ROSE (CRNA) still an active registrant?
ROBERT EUGENE ROSE (CRNA) carries an active NPI according to the public dataset.
What expertise is attributed to ROBERT EUGENE ROSE (CRNA)?
ROBERT EUGENE ROSE (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ROBERT EUGENE ROSE (CRNA)?
Travel planning: use Tulsa, Oklahoma as the reference point for ROBERT EUGENE ROSE (CRNA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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