Individual provider Active NPI

Rose Gaelle Moale, FNP

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1417544347
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1030708 Issued in TX
Practice address
3300 S FM 1788
Midland, TX 79706-2601
Phone
(325) 615-9154
NPI assigned
Dec 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1030708 TX
Registered Nurse 163W00000X 893684 TX
Family Nurse Practitioner 363LF0000X 1030708 TX Primary

Addresses

Primary practice location

3300 S FM 1788
Midland, TX 79706-2601

Mailing address

6014 Aurora Way
Midland, TX 79705-2377

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
I20220711000845 TX Practitioner - Nurse Practitioner 1759761588 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Physician Group, Texas, LLCGroup PAC ID 7113349788, 3 clinicians
Supportive Care of Texas PCGroup PAC ID 1658744503, 28 clinicians

Practice addresses (Care Compare)

302 Gobblers Knob Rd
Lufkin, TX 75904-5419
Phone (469) 200-9159

825 W Kearney St
Mesquite, TX 75149-3206
Phone (866) 708-1240

Hospital & facility affiliations

  • Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
893684TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care LLC CurrentSince Jan 19, 2026 Accepting new patients
Supportive Care of Texas PC CurrentSince Feb 2, 2026 Accepting new patients
Impact Physician Group, Texas LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

425 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 554-6000

600 Elizabeth St
Bldg B
Corpus Christi, TX 78404
Phone (361) 215-9278

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

1025 W Yeagua St
Groesbeck, TX 76642
Phone (254) 729-3366

6534 Stuebner Airline Rd
Houston, TX 77091
Phone (713) 692-5137

615 Clinic Dr
Longview, TX 75605
Phone (903) 212-3105

4302 Princeton St
Lubbock, TX 79415
Phone (806) 740-8400

302 Gobblers Knob Rd
Lufkin, TX 75904
Phone (260) 407-8009

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

3300 S FM 1788
Midland, TX 79706
Phone (432) 561-5915

906 James St
Weslaco, TX 78596
Phone (956) 969-2222

7820 Skyline Park Dr
Wht Settlemt, TX 76108
Phone (817) 246-4671

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1417544347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6014 AURORA WAY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797052377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 S FM 1788",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797062601",
            "telephone_number": "325-615-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOALE",
        "first_name": "ROSE GAELLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-26",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1030708",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "893684",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1030708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.