TINA A. ROSE (NP) – Family Nurse Practitioner, NPI 1174064950

TINA A. ROSE (NP) is a healthcare provider. based in Kingsport, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209432 (TN). The NPI Number for TINA A. ROSE (NP) is 1174064950

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
TINA A. ROSE (NP)
NPI
1174064950
Phone
(423) 230-5000
Address
2050 MEADOWVIEW PKWY
Enumeration Date
14 March 2017
Last Update Date
2 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4235432584
Graduation Year
2016 (10 years ago)
PAC ID
8224314497
Group Practice PAC ID
1850448580
Professional Enrollment ID
I20170425000427
Address ID
TN376433776EL1500XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:9State licenses:3Digital endpointsOther names

10,728 NURSE PRACTITIONER in TN

Loading map...

Provider Addresses for TINA A. ROSE (NP)

  • 2050, Meadowview Parkway, Kingsport, Sullivan County, Tennessee, 37660, United States

    KINGSPORT, TN 376607475

    Phone: (423) 230-5000

    Fax: (423) 230-5035

    Type: Location

  • 1490 Park Ave NW Ste 3C

    Norton, VA 242731631

    Phone: (276) 679-0252

    Type: Location

  • 127 Health Care Dr Ste 3

    Pennington Gap, VA 242772853

    Phone: (423) 230-5000

    Type: Location

  • 271 Medical Park Blvd

    Bristol, TN 376207455

    Phone: (423) 274-8600

    Type: Location

  • 743 Island Rd

    Bristol, VA 242017403

    Phone: (276) 469-4200

    Type: Location

  • 671 Highway 58 E

    Norton, VA 242733007

    Phone: (276) 679-5874

    Type: Location

  • 115 Judge Gresham Rd Ste A

    Gray, TN 376156213

    Phone: (423) 467-3000

    Type: Location

  • 1500 W Elk Ave

    Elizabethton, TN 376432654

    Phone: (423) 543-2584

    Fax: (423) 722-2060

    Type: Location

  • West Stone Drive, Howard Hill, Kingsport, Sullivan County, Tennessee, 37660-3000, United States

    SUITE 6A

    KINGSPORT, TN 376603365

    Phone: (423) 408-7220

    Fax: (423) 408-7405

    Type: Mailing

  • 1021 W OAKLAND AVE STE 310

    JOHNSON CITY, TN 376042192

    Phone: (423) 952-2111

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2017-04-25

PECOS data refreshed: 2026-06-15

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
I20170425000427INurse 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1915$0
View full utilization report →

Insurance plans in this area (ZIP 37660)

Loading plans...

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: 1850448580View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference TINA A. ROSE (NP)?
For TINA A. ROSE (NP), use NPI 1174064950 as the unique 10-digit identifier.
Is TINA A. ROSE (NP) still an active registrant?
TINA A. ROSE (NP) carries an active NPI according to the public dataset.
What kind of doctor is TINA A. ROSE (NP)?
TINA A. ROSE (NP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is TINA A. ROSE (NP) located near Kingsport?
TINA A. ROSE (NP) currently maps to Kingsport, Tennessee in this extract.
Can I trust this NPI listing for TINA A. ROSE (NP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

MS. ELEANOR HESS (FNP)

Family Nurse Practitioner
Executive Park Boulevard, Preston Forest, Kingsport, Sullivan County, Tennessee, 37660, United States
NPI: 1982607099

MS. JANET CRADIC (F.N.P.)

Family Nurse Practitioner
1101 E Stone Dr Ste 2
NPI: 1497758551
Kingsport, Sullivan County, Tennessee, United States of America
NPI: 1558364620

MR. CHRISTOPHER MORELOCK (FNP)

Family Nurse Practitioner
Kingsport, Sullivan County, Tennessee, United States
NPI: 1245233956
PO BOX 9
NPI: 1003819707
Kingsport, Sullivan County, Tennessee, United States
NPI: 1417959727
333 COMMERCE ST STE 700
NPI: 1780686865

KIMBERLY STURGILL (FNP)

Family Nurse Practitioner
Kingsport, Sullivan County, Tennessee, United States
NPI: 1568466399