Individual provider Active NPI

Rose Tilus, FNP

  • Family Nurse Practitioner
  • Johnston, RI
National Provider Identifier
1487273363
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN02317 Issued in RI
Practice address
1126 Hartford Ave
Johnston, RI 02919-7109
Phone
(401) 519-1902
NPI assigned
Apr 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN02317 RI Primary

Addresses

Primary practice location

1126 Hartford Ave
Johnston, RI 02919-7109

Mailing address

129 Samuel Ave
Pawtucket, RI 02860-1623
Phone (401) 632-9297

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address 0215.0004@direct.bvchc.nextgenshare.com
Direct Messaging Address 0215.0004@direct.bvchc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20201014003674 RI Practitioner - Nurse Practitioner 8628498532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1126 Hartford Ave
Johnston, RI 02919-7109
Phone (401) 351-2750

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Community Action Agency CurrentSince Jun 15, 2020 Accepting new patients
Tri-County Community Action Agency CurrentSince Jun 15, 2020 Accepting new patients

Locations

1126 Hartford Ave
Johnston, RI 02919
Phone (401) 351-2750

33 Maple St
North Providence, RI 02911
Phone (401) 351-2750

Interoperability endpoints

  • Direct secure messaging: rose.tilus.p4@direct.bvchc.nextgenshare.com
  • Direct secure messaging: rose.tilus.p1@direct.bvchc.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1487273363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 SAMUEL AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028601623",
            "telephone_number": "401-632-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197109",
            "telephone_number": "401-519-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILUS",
        "first_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN02317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "0215.0004@direct.bvchc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1126 Hartford Ave",
            "city": "Johnston",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029197109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "0215.0004@direct.bvchc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1126 Hartford Ave",
            "city": "Johnston",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029197109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.