DR. NELS J ROSE (D.O.) – Emergency Medicine Physician, NPI 1225328727

DR. NELS J ROSE (D.O.) is a healthcare provider. based in Green bay, Wisconsin. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 62267-21 (WI). The NPI Number for DR. NELS J ROSE (D.O.) is 1225328727

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. NELS J ROSE (D.O.)
NPI
1225328727
Phone
Not provided
Address
164 N BROADWAY
Enumeration Date
18 April 2011
Last Update Date
10 April 2024

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
9207945000
Graduation Year
2011 (15 years ago)
PAC ID
3779708243
Group Practice PAC ID
9436067402
Professional Enrollment ID
I20140626000703
Address ID
WI542413900TW5000XDRXX300

Contacts

Secure Messaging
nrose111136@direct.aurora.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

1,309 EMERGENCY MEDICINE in WI

Provider Addresses for DR. NELS J ROSE (D.O.)

  • 164 N BROADWAY

    GREEN BAY, WI 543032728

    Phone:

    Type: Mailing

  • 1035 KEPLER DR

    GREEN BAY, WI 543118320

    Phone: (920) 490-9046

    Type: Mailing

  • 2845 GREENBRIER RD

    GREEN BAY, WI 543116519

    Phone: (920) 288-4060

    Fax: (920) 288-4067

    Type: Location

  • 855 N WESTHAVEN DR

    OSHKOSH, WI 549047668

    Phone: (920) 456-7400

    Fax: (920) 456-7421

    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: 2014-06-26

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
I20140626000703IEmergency MedicineWITBD

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
99285Emergency department visit with high level of medical decision making105104$0
99284Emergency department visit with moderate level of medical decision making5857$0
99291Critical care, first 30-74 minutes3737$0
99283Emergency department visit with low level of medical decision making2424$0
99213Established patient office or other outpatient visit, 20-29 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 54303)

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Provider's Procedures

DR. NELS J ROSE (D.O.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEWI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report151147

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: 9436067402View full group profile
NameSpecialtyState
Emergency MedicineWI
Physician AssistantWI
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineWV
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineWI
Physician AssistantWI
Emergency MedicineOR

Reviews

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Frequently asked questions

What is DR. NELS J ROSE (D.O.)'s NPI number?
DR. NELS J ROSE (D.O.)'s NPI is 1225328727 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. NELS J ROSE (D.O.)?
For scheduling context, DR. NELS J ROSE (D.O.) is shown as active in the registry.
How would a patient describe DR. NELS J ROSE (D.O.)'s focus?
For DR. NELS J ROSE (D.O.), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. NELS J ROSE (D.O.)?
Directory geography for DR. NELS J ROSE (D.O.) centers on Green Bay, Wisconsin.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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