Tim Rose, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

500 Damonte Ranch Pkwy Ste 735
Reno, NV 89521-3964

Phone

(408) 341-9222

NPI assigned

Dec 5, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nugent Family Counseling Center Inc.Group PAC ID 2668816745, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Nugent Family Counseling Center Inc

  dba Mountain EAP

  • Marriage & Family Therapist
  • San Jose, CA
  • NPI 1679005862

  NV

  Medicare reassignment Care Compare group NPD
• Saint Marys Medical Group Inc.

  dba Saint Mary's Medical Group

  • Primary Care Clinic/Center
  • Reno, NV
  • NPI 1538424239
  NPD

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1336916857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SINCLAIR ST # B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895012231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DAMONTE RANCH PKWY STE 735",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895213964",
            "telephone_number": "408-341-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Sinclair St # B",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895012231",
            "country_code": "US",
            "telephone_number": "717-350-2519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 S Bascom Ave Ste 2010",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951283538",
            "country_code": "US",
            "telephone_number": "408-341-9222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "TIM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-05",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose E Paiva M D LTD
• Ezra Rose
• Hilda Condino Rose
• Kiley Rose, DPT
• Nicholas Rose, MD
• Samantha Rosekrans, MD
• Richard Bruce Rosen, M.D.
• Lisa Joy Rosenberg, MD
• Sarah Rosenbloom, MFT-INTERN
• Robert J Rosenquist, M.D.

• Medical Physician Assistant in Reno, NV
• Providers in Reno, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.