DR. JENNIE ROSE (MD) – Obstetrics & Gynecology Physician, NPI 1174577977

DR. JENNIE ROSE (MD) is a healthcare provider. based in Traverse city, Michigan. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials MD. They hold a License No. 4301077686 (MI). The NPI Number for DR. JENNIE ROSE (MD) is 1174577977

Main info

Female
Sole Proprietor
Name
DR. JENNIE ROSE (MD)
NPI
1174577977
Phone
(231) 944-4171
Address
4400 LANDS END
Enumeration Date
19 May 2006
Last Update Date
20 November 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. JENNIE ROSE (MD)

  • 4400 LANDS END

    TRAVERSE CITY, MI 496868053

    Phone: (231) 944-4171

    Type: Mailing

  • Elmwood Ave at 6th St, South Elmwood Avenue, Grand Traverse Commons, Kids Creek, Traverse City, Grand Traverse County, Michigan, 49684, United States

    TRAVERSE CITY, MI 496842369

    Phone: (231) 392-0650

    Fax: (231) 392-0665

    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

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Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-08

PECOS data refreshed: 2026-05-27

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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 49686)

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Reviews

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Frequently asked questions

Is DR. JENNIE ROSE (MD) listed with a National Provider Identifier?
Yes — DR. JENNIE ROSE (MD) has NPI 1174577977 on file in the registry.
Active or inactive — what applies to DR. JENNIE ROSE (MD)?
You should see DR. JENNIE ROSE (MD) as active in CMS-hosted NPPES data.
How would a patient describe DR. JENNIE ROSE (MD)'s focus?
For DR. JENNIE ROSE (MD), the primary taxonomy reads as Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JENNIE ROSE (MD)?
Directory geography for DR. JENNIE ROSE (MD) centers on Traverse City, Michigan.
When was this NPI issued?
Enumeration for DR. JENNIE ROSE (MD) is noted as May 19, 2006 where the registry provides it.

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