Patricia Sue Rose-Liana, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704109906 Issued in MI

Practice address

425 N Galloway Rd
Vandalia, MO 63382-1259

Phone

(573) 594-2111

NPI assigned

Apr 6, 2007

Last updated

Sep 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pike County Memorial HospitalGroup PAC ID 8123015518, shared by 6 NPIs, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pike County Memorial Hospital Hospital, Louisiana, MO, CCN 261333

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: proseliana@pike.cernerdirect.com

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

• Pike County Memorial Hospital

  dba PCMH Clinic

  • Rural Health Clinic/Center
  • Bowling Green, MO
  • NPI 1124030424
  Medicare reassignment NPD
• Pike County Memorial Hospital

  dba PCMH Clinic

  • Rural Health Clinic/Center
  • Louisiana, MO
  • NPI 1437265311
  Medicare reassignment NPD
• Pike County Memorial Hospital

  dba Medical Walk-In Clinic

  • Rural Health Clinic/Center
  • Bowling Green, MO
  • NPI 1134633456
  NPD
• Pike County Memorial Hospital

  dba PCMH Clinic

  • Family Medicine Physician
  • Louisiana, MO
  • NPI 1538513072
  NPD

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

• Pike County Memorial Hospital

  • Critical Access Hospital
  • Louisiana, MO
  • NPI 1205837218
  Care Compare affiliation

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1124141114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102, WINTERGREEN",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-249-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N GALLOWAY RD",
            "city": "VANDALIA",
            "state": "MO",
            "postal_code": "633821259",
            "telephone_number": "573-594-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 W Fair Ave",
            "address_2": "#332",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498552675",
            "country_code": "US",
            "telephone_number": "906-225-6960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE-LIANA",
        "first_name": "PATRICIA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704109906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "proseliana@pike.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Pike County Memorial Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1420 S Business 61 Ste Def",
            "city": "Bowling Green",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633345230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandria McCandless, OTA
• Katlyn Renee Meyers, OTR/L
• Niemann Foods Inc (County Market Pharmacy 392)
• Pike County Memorial Hospital (PCMH Clinic)
• Pike County Memorial Hospital (PCMH Clinic)
• Joseph Salois, RPH
• Teresa L Stice, OD
• The Baptist Home (Baptist Homes of Vandalia)
• The Baptist Homes (Baptist Home Healthcare and Ministeries)
• Tri County Nursing Home District (Tri County Care Center)

• Family Nurse Practitioner in Vandalia, MO
• Providers in Vandalia, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.