Individual provider Active NPI

Shelby L Rose, NP

  • Family Nurse Practitioner
  • Rochester Hills, MI
National Provider Identifier
1538970280
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704327031 Issued in MI
Practice address
1701 South Blvd E Ste 300
Rochester Hills, MI 48307-6120
Phone
(248) 884-9710
Fax
(248) 884-9711
NPI assigned
Jan 14, 2025
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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 4704327031 MI Primary

Addresses

Primary practice location

1701 South Blvd E Ste 300
Rochester Hills, MI 48307-6120

Mailing address

2495 Clinton Hills Rd
Ortonville, MI 48462-8930
Phone (734) 552-6910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1701 S Blvd E
Suite 300
Rochester Hills, MI 48307-6120

2495 Clinton Hills Rd
Ortonville, MI 48462-8930

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704327031MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Berkley Urgent Care PLLC CurrentSince Nov 7, 2025 Accepting new patients

Locations

3270 Greenfield Rd
Berkley, MI 48072
Phone (248) 268-1525

Organizations & group practices 1

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": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1538970280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 CLINTON HILLS RD",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484628930",
            "telephone_number": "734-552-6910",
            "fax_number": "248-884-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E STE 300",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076120",
            "telephone_number": "248-884-9710",
            "fax_number": "248-884-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "SHELBY",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704327031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.