Organization Active NPI

Rose Health and Wellness

Doing business as Beacon Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Weston, WI
National Provider Identifier
1205783917
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ROSE HEALTH AND WELLNESS
Doing business as
Beacon Health
Practice address
5503 Schofield Ave Ste D
Weston, WI 54476-4340
Phone
(715) 409-9723
NPI assigned
Mar 12, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Tracie Timm Rose, APRNNPI 1306248158
Title
Nurse Practitioner
Phone
(715) 409-9723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

5503 Schofield Ave Ste D
Weston, WI 54476-4340

Mailing address

5503 Schofield Ave Ste D
Weston, WI 54476-4340
Phone (715) 227-8342

Other names 1

  • Beacon Health Doing business as

National Provider Directory

National Provider Directory

Locations

5503 Schofield Ave
Ste D
Weston, WI 54476
Phone (715) 409-9723

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1205783917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 SCHOFIELD AVE STE D",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544764340",
            "telephone_number": "715-227-8342",
            "fax_number": "715-227-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 SCHOFIELD AVE STE D",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544764340",
            "telephone_number": "715-409-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "TIMM ROSE",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "715-409-9723",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weston, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.