STARLENE ROSE (NP) – Nurse Practitioner, NPI 1083276232
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for STARLENE ROSE (NP)
602 E Fort Union Blvd
Midvale, UT 840472216
Phone: (801) 313-1010
Type: Location
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone:
Type: Mailing
5171 S COTTONWOOD ST
MURRAY, UT 841075704
Phone: (801) 507-9310
Type: Location
6113, Azure Meadow Drive, Taylorsville, Salt Lake County, Utah, 84129, United States
TAYLORSVILLE, UT 841298118
Phone: (801) 462-5701
Type: Mailing
602, Fort Union Boulevard, Midvale, Salt Lake County, Utah, 84047, United States
MIDVALE, UT 840472216
Phone: (801) 313-1010
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $2,906.
Total Amount is formed as General ($2,906) + Research ($0) + Ownership ($0) = $2,906.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Boston Scientific Corporation ($1,433).
Total Amount
$2,906
General + Research + Ownership
Payments
23
Total payment records
General Amount
$2,906
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $1,433 |
| Medtronic, Inc. | $1,287 |
| ABBVIE INC. | $80 |
| TACTILE SYSTEMS TECHNOLOGY INC | $47 |
| Bard Peripheral Vascular, Inc. | $27 |
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: 2019-10-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191016001317 | I | Nurse Practitioner | UT | TBD |
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.
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 84047)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| P O D I A T R Y | UT | |
| Nurse Practitioner | UT |
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