Rose Carolyn Wilcox, A.C.N.P.

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

71004246A Issued in IN

Practice address

14411 Smugglers Notch
Suite a
Fort Wayne, IN 46814-8701

Phone

(260) 515-3275

Fax

(888) 803-6843

NPI assigned

Dec 6, 2012

Last updated

Aug 29, 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, OH2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Post Acute Telehealth PCGroup PAC ID 9638585391, 63 clinicians

Acute Behavioral Health Services PCGroup PAC ID 8921490681, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

37.89 of 100Reported as individual

Quality

30

Improvement activities

0

Cost

56.09

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Acute Behavioral Health Services, P.C.

  • Hospitalist Physician
  • Lafayette, IN
  • NPI 1700453388

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Post Acute Telehealth PC

  • Family Medicine Physician
  • Blue Ash, OH
  • NPI 1164011185

  IN

  Medicare reassignment Care Compare group
• Indiana Behavioral Innovations LLC

  • Psychiatric Hospital
  • Plainfield, IN
  • NPI 1922614825
  Medicare reassignment NPD
• Psychiatric Management Services

  • Psychiatry Physician
  • Anderson, IN
  • NPI 1942677281
  Medicare reassignment NPD
• Rounding Providers

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1538486691
  Medicare reassignment NPD
• Balanced Wellness

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1396447785
  NPD Authorized official
• S4 Specialty Consultants LLC

  • Geriatric Psychiatry Physician
  • Indianapolis, IN
  • NPI 1336884725
  NPD
• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739

  Nurse Practitioner

  NPD
• Northeast Internal Medicine Associates, PC

  • Primary Care Nurse Practitioner
  • Lagrange, IN
  • NPI 1366859779
  NPD (past)

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1396080024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 US HIGHWAY 6",
            "city": "EDGERTON",
            "state": "OH",
            "postal_code": "435179701",
            "telephone_number": "604-457-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 SMUGGLERS NOTCH",
            "address_2": "SUITE A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148701",
            "telephone_number": "260-515-3275",
            "fax_number": "888-803-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "ROSE",
        "middle_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "A.C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71004246A",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71004246A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Lee Wihebrink I, LMHC, MAC, SAP
• Cortney Wilcox, FNP
• Esther E Wilcox, MSED, LMFT
• Kristen Wilcox
• Matthew Zachary Wilcox
• Wildflower Counseling
• Brenda S. Wiley, NP
• Quinn Wiley, MPM, ATC, LAT
• Mary Ruth Wilger, DO
• Beth Woodward Wilges, LCSW

• Acute Care Nurse Practitioner in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Acute Care Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.