Brandi N Rose, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4015211 Issued in KY

Practice address

101 Main St
Fulton, KY 42041-1601

Phone

(270) 472-5245

Fax

(270) 472-5249

NPI assigned

Feb 13, 2015

Last updated

Aug 6, 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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TN, KY2 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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pinelake Physician Practice LLCGroup PAC ID 6800797507, 45 clinicians

Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Dyersburg Family Walk-in ClinicGroup PAC ID 5991793879, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lifeline Home Health Care of Fulton Home health agency, Fulton, KY, CCN 187181
• Jackson Purchase Medical Center Hospital, Mayfield, KY, CCN 180116
• Baptist Memorial Hospital Union City Hospital, Union City, TN, CCN 440130
• Volunteer Community Hospital Hospital, Martin, TN, CCN 440061

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brandi.rose.1@19475.direct.athenahealth.com

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.

• Pinelake Physician Practice, LLC

  • Rural Health Clinic/Center
  • Mayfield, KY
  • NPI 1295960532
  Medicare reassignment Care Compare group NPD
• Dyersburg Family Walk-in Clinic LLC

  dba Reelfoot Family Walk-In Clinic

  • Rural Health Clinic/Center
  • Dyersburg, TN
  • NPI 1174712780
  Medicare reassignment Care Compare group NPD
• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441
  Medicare reassignment Care Compare group NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  TN

  Medicare reassignment NPD
• Pinelake Physician Practice, LLC

  • Rural Health Clinic/Center
  • Mayfield, KY
  • NPI 1841900347
  NPD
• Pinelake Physician Practice, LLC

  dba Jackson Purchase Podiatry

  • Internal Medicine Physician
  • Mayfield, KY
  • NPI 1861563439
  NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Ocoee, FL
  • NPI 1326906843
  NPD
• Cane Ridge Emergency Physicians LLC

  • Emergency Medicine Physician
  • Smyrna, TN
  • NPI 1275815433
  NPD (past)

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

• Lifeline Home Health Care of Fulton, LLC

  dba Lifeline Health Care of Fulton

  • Home Health Agency
  • Fulton, KY
  • NPI 1740404540
  Care Compare affiliation
• Pinelake Regional Hospital LLC

  dba Jackson Purchase Medical Center

  • Rural Acute Care Hospital
  • Mayfield, KY
  • NPI 1891892741
  Care Compare affiliation
• Baptist Memorial Hospital- Union City Inc

  • General Acute Care Hospital
  • Union City, TN
  • NPI 1114981768
  Care Compare affiliation
• Martin Health

  dba West Tennessee Healthcare Volunteer Hospital

  • General Acute Care Hospital
  • Martin, TN
  • NPI 1275505372
  Care Compare affiliation

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1437540200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "city": "FULTON",
            "state": "KY",
            "postal_code": "420411601",
            "telephone_number": "270-472-5245",
            "fax_number": "270-472-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "city": "FULTON",
            "state": "KY",
            "postal_code": "420411601",
            "telephone_number": "270-472-5245",
            "fax_number": "270-472-5249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1509 E Reelfoot Ave",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "TN",
            "postal_code": "382615845",
            "country_code": "US",
            "telephone_number": "731-886-8662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "BRANDI",
        "middle_name": "N",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19671",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4015211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100965780",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE KY",
            "identifier": "4015211",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "158274",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE - TN",
            "identifier": "19671",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q012535",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Alexander Prater, PHARM D.
• David Stewart Prater Jr., PHARM D.
• Michael Patrick Prather, RPH
• Purchase District Health Dept
• Purchase Radiology Group
• Bruce James Rowland, D.O
• Angela Saling, OT/L
• Judi Lee Scharmann, B.S TCADC
• Freda Rolane Smith
• Judy Noreen Smith, FNPC

• Family Nurse Practitioner in Fulton, KY
• Providers in Fulton, KY by specialty
• Family Nurse Practitioner in Kentucky

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