DANIEL DEAN ROSEMA (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1841839107

DANIEL DEAN ROSEMA (AGACNP-BC) is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. AP61307074 (WA). The NPI Number for DANIEL DEAN ROSEMA (AGACNP-BC) is 1841839107

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL DEAN ROSEMA (AGACNP-BC)
NPI
1841839107
Phone
(503) 215-1111
Address
4805 NE GLISAN ST
Enumeration Date
3 January 2020
Last Update Date
22 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3605142990
Graduation Year
2017 (9 years ago)
PAC ID
3577990514
Group Practice PAC ID
8820178288
Professional Enrollment ID
I20220907001539
Address ID
WA986643288VA200XXPLXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:6State licenses:2Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for DANIEL DEAN ROSEMA (AGACNP-BC)

  • 4805 NE GLISAN ST

    PORTLAND, OR 972132933

    Phone: (503) 215-1111

    Type: Location

  • 200 NE Mother Joseph Pl Ste 330

    Vancouver, WA 986643288

    Phone: (360) 514-2990

    Fax: (360) 514-3508

    Type: Location

  • PO BOX 3158

    PORTLAND, OR 972083158

    Phone:

    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: 2022-09-07

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
I20220907001539INurse PractitionerWATBD

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
99291Critical care, first 30-74 minutes7650$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2422$0
View full utilization report →

Insurance plans in this area (ZIP 97213)

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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: 8820178288View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWA
Physician AssistantWA
General Surgery, Thoracic SurgeryWA
General Surgery, Thoracic SurgeryWA
Family PracticeWA
O P H T H A L M O L O G YWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Physician AssistantWA
Medical OncologyWA
Nephrology, Internal MedicineWA

Reviews

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Frequently asked questions

What is the registry number for DANIEL DEAN ROSEMA (AGACNP-BC)?
The registry entry for DANIEL DEAN ROSEMA (AGACNP-BC) shows NPI 1841839107.
Is DANIEL DEAN ROSEMA (AGACNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists DANIEL DEAN ROSEMA (AGACNP-BC) as active.
What services align with DANIEL DEAN ROSEMA (AGACNP-BC)'s listing?
DANIEL DEAN ROSEMA (AGACNP-BC)'s public classification highlights Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DANIEL DEAN ROSEMA (AGACNP-BC) tied to Portland, Oregon?
If you are local to Portland, Oregon, DANIEL DEAN ROSEMA (AGACNP-BC) may be relevant to your search.
Why is information missing for DANIEL DEAN ROSEMA (AGACNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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