SYDNEY MICHELLE ROSE – Nurse Practitioner, NPI 1841863529

SYDNEY MICHELLE ROSE is a healthcare provider. based in Fort worth, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1057022 (TX). The NPI Number for SYDNEY MICHELLE ROSE is 1841863529

Main info

Female
5 Years Of Experience
Name
SYDNEY MICHELLE ROSE
NPI
1841863529
Phone
(817) 321-0404
Address
815 Pennsylvania Ave
Enumeration Date
21 July 2021
Last Update Date
22 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8179345499
Graduation Year
2021 (5 years ago)
PAC ID
2961895586
Group Practice PAC ID
8729429592
Professional Enrollment ID
I20220203000791
Address ID
TX761044155FO1622XAVEX303

Contacts

Secure Messaging
srose@radntx.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

22,204 NURSE PRACTITIONER in TX

Provider Addresses for SYDNEY MICHELLE ROSE

  • 815 Pennsylvania Ave

    Fort Worth, TX 761042294

    Phone: (817) 321-0404

    Type: Location

  • 1429 Clear Lake Rd Ste 400

    Weatherford, TX 760868803

    Phone: (817) 321-0404

    Type: Location

  • 17980 Dallas Pkwy Ste 200

    Dallas, TX 752876817

    Phone: (817) 321-0404

    Type: Location

  • 816 W CANNON ST

    FORT WORTH, TX 761043194

    Phone: (817) 321-0404

    Type: Mailing

  • 5016 US HWY 75

    DENISON, TX 750204584

    Phone: (903) 416-2070

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $724.

Total Amount is formed as General ($724) + Research ($0) + Ownership ($0) = $724.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Boston Scientific Corporation ($453).

Total Amount

$724

General + Research + Ownership

Payments

25

Total payment records

General Amount

$724

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2022-02-03

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
I20220203000791INurse PractitionerTXTBD

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
49083Drainage of fluid from abdominal cavity using imaging guidance27754$0
32555Aspiration of fluid from chest cavity using imaging guidance6249$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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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: 8729429592View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX

Reviews

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Frequently asked questions

What number should I use to identify SYDNEY MICHELLE ROSE for billing?
Administrative and clinical systems typically use NPI 1841863529 for SYDNEY MICHELLE ROSE.
Should I treat SYDNEY MICHELLE ROSE as an active provider?
Patients and plans typically see SYDNEY MICHELLE ROSE as active in the national extract.
What services align with SYDNEY MICHELLE ROSE's listing?
SYDNEY MICHELLE ROSE's public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SYDNEY MICHELLE ROSE?
SYDNEY MICHELLE ROSE is associated with Fort Worth, Texas in the same public data insurers reference.
Why is information missing for SYDNEY MICHELLE ROSE?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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