Individual provider Active NPI

James Rose, AGCNS-BC

  • Adult Health Clinical Nurse Specialist
  • Bedford, TX
National Provider Identifier
1245636190
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
AP126386 Issued in TX
Practice address
1924 Forest Ridge Dr
Bedford, TX 76021-8228
Phone
(817) 545-4550
Fax
(817) 571-0804
NPI assigned
Nov 5, 2014
Last updated
Sep 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X AP126386 TX Primary
Gerontology Clinical Nurse Specialist 364SG0600X AP126386 TX

Addresses

Primary practice location

1924 Forest Ridge Dr
Bedford, TX 76021-8228

Mailing address

409 Lark St
Leander, TX 78641-1750
Phone (512) 468-2339

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
I20150901001287 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 9436465796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Univeristy of Texas Rio Grande Valley Med School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1924 Forest Ridge Dr
Bedford, TX 76021-5727
Phone (817) 545-4550

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heartplace, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Aug 1, 2015 Accepting new patients
Texas Health Physicians Group CurrentSince Aug 1, 2015 Accepting new patients
Heartplace, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Heartplace, PLLC Current Accepting new patients
Heartplace, PLLC Past Accepting new patients

Locations

902 W Randol Mill Rd
Ste 200
Arlington, TX 76012
Phone (817) 461-3003

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

1924 Forest Ridge Dr
Bedford, TX 76021
Phone (817) 381-0538

1924 Forest Ridge Dr
Ste 400
Bedford, TX 76021
Phone (817) 551-7707

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

5085 W Park Blvd
Ste 160
Plano, TX 75093
Phone (469) 437-3352

399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4
  • Direct secure messaging: jrose690764@direct.texashealth.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1245636190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 LARK ST",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786411750",
            "telephone_number": "512-468-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 FOREST RIDGE DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760218228",
            "telephone_number": "817-545-4550",
            "fax_number": "817-571-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "AGCNS-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-05",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "AP126386",
            "primary": true
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "TX",
            "license": "AP126386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.