Individual provider Active NPI

Nancy Susan Rose, CNS

  • Adult Health Clinical Nurse Specialist
  • Austin, TX
National Provider Identifier
1083876882
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
734306 Issued in TX
Practice address
3801 N Lamar Blvd
Ste. 300
Austin, TX 78756-4080
Phone
(512) 206-3601
Fax
(512) 421-3830
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 734306 TX Primary

Addresses

Primary practice location

3801 N Lamar Blvd
Ste. 300
Austin, TX 78756-4080

Mailing address

7800 Shoal Creek Blvd
205-N
Austin, TX 78757-1098
Phone (512) 206-4341

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address njaskol4173@epiccwdv.hcadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081029000298 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 9537227988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

3801 N Lamar Blvd
300 Heart Hospital
Austin, TX 78756-4080
Phone (512) 206-3600

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718
  • Columbus Community Hospital Hospital, Columbus, TX, CCN 450370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Davids Heart & Vascular, PLLC CurrentSince Jan 1, 2013 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

900 W 38th St
Ste 400
Austin, TX 78705
Phone (512) 206-3600

3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600

7800 Shoal Creek Blvd
Ste 205N
Austin, TX 78757
Phone (512) 206-4300

1900 Scenic Dr
Ste 3308
Georgetown, TX 78626
Phone (512) 244-2263

2 Saint Marks Pl
Ste 100
La Grange, TX 78945
Phone (979) 242-5432

Interoperability endpoints

  • Direct secure messaging: 2375-rose-nancy@direct.leadingreach.com
  • Direct secure messaging: 2562-rose-nancy@direct.leadingreach.com
  • Direct secure messaging: 6336-rosecns-nancy@direct.leadingreach.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1083876882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SHOAL CREEK BLVD",
            "address_2": "205-N",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571098",
            "telephone_number": "512-206-4341",
            "fax_number": "512-407-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N LAMAR BLVD",
            "address_2": "STE. 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564080",
            "telephone_number": "512-206-3601",
            "fax_number": "512-421-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "NANCY",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "734306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "njaskol4173@epiccwdv.hcadirect.net",
            "affiliation": "N",
            "address_1": "3801 N LaMar Blvd",
            "address_2": "STE. 300",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787564080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.