REBECCA ROSE (CNM) – Obstetrics & Gynecology Nurse Practitioner, NPI 1174634794

REBECCA ROSE (CNM) is a healthcare provider. based in Medford, Oregon. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 209002787 (IL). The NPI Number for REBECCA ROSE (CNM) is 1174634794

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA ROSE (CNM)
NPI
1174634794
Phone
(541) 690-3555
Address
931 CHEVY WAY
Enumeration Date
31 August 2006
Last Update Date
23 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416903500
Graduation Year
2012 (14 years ago)
PAC ID
2264621119
Group Practice PAC ID
0244143089
Professional Enrollment ID
I20160812000240
Address ID
OR975013609ME221XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

192 CERTIFIED NURSE MIDWIFE (CNM) in OR

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Provider Addresses for REBECCA ROSE (CNM)

  • 931, Chevy Way, Medford, Jackson County, Oregon, 97504, United States

    MEDFORD, OR 975044127

    Phone: (541) 690-3555

    Fax: (541) 512-1026

    Type: Mailing

  • 101, Stewart Avenue, Medford, Jackson County, Oregon, 97501, United States

    MEDFORD, OR 975013609

    Phone: (541) 690-3555

    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: 2016-08-12

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
I20160812000240ICertified Nurse Midwife (Cnm)ORTBD

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 97504)

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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: 0244143089View full group profile
NameSpecialtyState
-OR
Certified Nurse Midwife (Cnm)OR
Mental Health CounselorOR
Nurse PractitionerOR
Nurse PractitionerUT
Nurse Practitioner, Family PracticeOR
-OR
Family PracticeOR
Clinical Social WorkerOR
Physician AssistantOR

Reviews

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Frequently asked questions

What federal number belongs to REBECCA ROSE (CNM)?
The federal identifier for REBECCA ROSE (CNM) is NPI 1174634794.
Is REBECCA ROSE (CNM)'s NPI currently valid?
The extract we use shows REBECCA ROSE (CNM) as active.
Does REBECCA ROSE (CNM) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Nurse Practitioner for REBECCA ROSE (CNM). Clinical services aligned with this taxonomy classification.
What location shows for REBECCA ROSE (CNM)?
We surface Medford, Oregon for REBECCA ROSE (CNM) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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