Individual provider Active NPI

Tristen Amber Rose, NP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1528513215
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131386 Issued in TX
Practice address
5402 Westheimer Rd Ste K
Houston, TX 77056-5302
Phone
(713) 877-1479
NPI assigned
Aug 23, 2016
Last updated
May 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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 AP131386 TX Primary

Addresses

Primary practice location

5402 Westheimer Rd Ste K
Houston, TX 77056-5302

Mailing address

5402 Westheimer Rd Ste K
Houston, TX 77056-5302
Phone (713) 877-1479

Other names 1

  • Ms. Tristen Amber Nottage Former name

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
I20161208002068 TX Practitioner - Nurse Practitioner 1254611247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 W Adoue St
Alvin, TX 77511-2718
Phone 28182414801594

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as group
Quality
78.01
Improvement activities
40
Cost
79.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP131386TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen F. Austin Community Health Center, Inc. CurrentSince Sep 4, 2024 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Jul 5, 2023 Accepting new patients
Stephen F Austin Community Health Center,Inc CurrentSince Sep 4, 2024 Accepting new patients
Whiteglove Medical Care - NJ, PC PastSince Oct 12, 2016 Accepting new patients

Locations

1 Cvs Dr
Woonsocket, RI 02895
Phone (401) 770-1669

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594

5526 S Congress Ave
Austin, TX 78745
Phone (512) 310-3190

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

5402 Westheimer Rd
Ste K
Houston, TX 77056
Phone (713) 877-1479

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846

9522 Broadway St
Pearland, TX 77584
Phone 7134368151 ext. 8221

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1528513215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 WESTHEIMER RD STE K",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565302",
            "telephone_number": "713-877-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 WESTHEIMER RD STE K",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565302",
            "telephone_number": "713-877-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "TRISTEN",
        "middle_name": "AMBER",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2024-05-17",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISTEN",
            "last_name": "NOTTAGE",
            "middle_name": "AMBER",
            "prefix": "MS.",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.