JODI WATSON ROSE (NP) – Family Nurse Practitioner, NPI 1124494513

JODI WATSON ROSE (NP) is a healthcare provider. based in Cleveland, Tennessee. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. APN0000020261 (TN). The NPI Number for JODI WATSON ROSE (NP) is 1124494513

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JODI WATSON ROSE (NP)
NPI
1124494513
Phone
(423) 476-5002
Address
2253 CHAMBLISS AVE NW STE 301
Enumeration Date
19 August 2015
Last Update Date
2 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4234764466
Graduation Year
2015 (11 years ago)
PAC ID
4981995172
Group Practice PAC ID
0446164404
Professional Enrollment ID
I20160617001700

Contacts

Secure Messaging
jodi.watson.1@1525.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

Provider Addresses for JODI WATSON ROSE (NP)

  • 2253 CHAMBLISS AVE NW STE 301

    CLEVELAND, TN 373113961

    Phone: (423) 476-5002

    Fax: (423) 339-4466

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 513 Open Payments records for all available years, with a total value of $8,987.

Total Amount is formed as General ($8,987) + Research ($0) + Ownership ($0) = $8,987.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: UCB, Inc. ($1,334).

Total Amount

$8,987

General + Research + Ownership

Payments

513

Total payment records

General Amount

$8,987

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-06-17

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
I20160617001700INurse PractitionerTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes189130$0
99204New patient office or other outpatient visit, 45-59 minutes5959$0
99213Established patient office or other outpatient visit, 20-29 minutes5042$0
99212Established patient office or other outpatient visit, 10-19 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 37311)

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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: 0446164404View full group profile

Reviews

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Frequently asked questions

How do payers reference JODI WATSON ROSE (NP)?
For JODI WATSON ROSE (NP), use NPI 1124494513 as the unique 10-digit identifier.
Would JODI WATSON ROSE (NP) appear as active to a payer?
You can treat JODI WATSON ROSE (NP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JODI WATSON ROSE (NP)?
At a glance, JODI WATSON ROSE (NP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JODI WATSON ROSE (NP)?
Travel planning: use Cleveland, Tennessee as the reference point for JODI WATSON ROSE (NP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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