KANDANCE ROSE (NP) – Family Nurse Practitioner, NPI 1396557146

KANDANCE ROSE (NP) is a healthcare provider. based in Alton, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 0024190235 (VA). The NPI Number for KANDANCE ROSE (NP) is 1396557146

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KANDANCE ROSE (NP)
NPI
1396557146
Phone
(434) 579-1713
Address
1048 SNOW HILL RD
Enumeration Date
20 January 2025
Last Update Date
27 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
43479214332380
Graduation Year
2023 (3 years ago)
PAC ID
1658895867
Group Practice PAC ID
8022067743
Professional Enrollment ID
I20250409002616
Address ID
VA245411816DA1040XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for KANDANCE ROSE (NP)

  • 1048 SNOW HILL RD

    ALTON, VA 245203148

    Phone: (434) 579-1713

    Type: Mailing

  • 2045 HAMILTON BLVD

    SOUTH BOSTON, VA 245922141

    Phone: (434) 572-6565

    Type: Location

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: 2025-04-09

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
I20250409002616INurse PractitionerVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24520)

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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: 8022067743View full group profile
NameSpecialtyState
Internal Medicine, NephrologyVA
Physician AssistantVA
Interventional Cardiology, Cardiovascular Disease (Cardiology)NJ
Internal Medicine, NephrologyVA
U R O L O G YVA
Nephrology, Internal MedicineVA
Nurse PractitionerVA
Nurse PractitionerVA
U R O L O G YNC
-VA

Reviews

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Frequently asked questions

What unique ID ties claims to KANDANCE ROSE (NP)?
NPI 1396557146 is assigned to KANDANCE ROSE (NP) under the national enumeration system.
Is KANDANCE ROSE (NP) currently active in the NPI registry?
CMS-published data lists KANDANCE ROSE (NP) as an active registrant.
What does KANDANCE ROSE (NP) treat or focus on?
Patients typically see KANDANCE ROSE (NP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KANDANCE ROSE (NP)'s primary listing?
We display Alton, Virginia because that is what the record indicates for KANDANCE ROSE (NP).
Is KANDANCE ROSE (NP) a real provider?
This page reflects official NPPES data for NPI 1396557146. Always confirm identity and privileges with the practice and licensing boards.

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