DR. SUSAN S. ROSE (PHD, GCNS-BC, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1750318788
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for DR. SUSAN S. ROSE (PHD, GCNS-BC, PMHNP)
LEGACY SALMON CREEK PROVIDERS
2211 NE 139TH STREET
VANCOUVER, WA 986862742
Phone: (503) 413-8407
Fax: (503) 413-6951
Type: Location
Legacy Salmon Creek Providers
2211 NE 139th Street
Vancouver, WA 986862742
Phone: (503) 413-8407
Fax: (503) 413-6951
Type: Location
2077, Northwest Wheatfield Way, Cedar Mill, Portland, Metro, Washington County, Oregon, 97229, United States
PORTLAND, OR 972082077
Phone: (503) 413-3900
Fax: (503) 413-3710
Type: Mailing
PO BOX 873473
VANCOUVER, WA 986873473
Phone: (971) 258-0854
Type: Mailing
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: 2009-01-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20090116000211 | I | Nurse Practitioner | OR | TBD |
| I20090121000151 | I | Nurse Practitioner | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 101 | 42 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 46 | 42 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 44 | 20 | $0 |
Insurance plans in this area (ZIP 98686)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | OR | |
| Internal Medicine | CA | |
| Family Practice | WA | |
| Nurse Practitioner | CA | |
| Neurology, Hospice/Palliative Care | WA | |
| Nurse Practitioner | SD | |
| - | OR | |
| - | OR | |
| General Surgery | OR | |
| - | OR |
Reviews
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