Active NPI
Rebecca Judene Rose, MD
- Surgery Physician
- Shenandoah, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 38581
- Practice address
- 1 Jack Foster Dr
Shenandoah, IA 51601-4586 - Phone
- (712) 246-7485
- Fax
- (712) 246-7036
- NPI assigned
- Feb 17, 2009
- Last updated
- Oct 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 248293-1 | NY | |
| Surgery Physician | 208600000X | 38581 | IA | Primary |
Addresses
Primary practice location
1 Jack Foster Dr
Shenandoah, IA 51601-4586
Mailing address
1 Jack Foster Dr
Shenandoah, IA 51601-4586
Phone (712) 246-7485
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7728720 | Medicaid | SD | |
| P00805363 | Other | IA | RR MEDICARE |
| 10025458000 | Medicaid | NE | |
| 00606 | Medicaid | IA | |
| 260558 | Other | MIDLANDS |
Other names 1
- Dr. Rebecca Judene Garner
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rebeccarose@shenmed.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, NH, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Michigan Medical School, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shenandoah Medical CenterAstera Health
Practice addresses (Care Compare)
1 Jack Foster Dr
Shenandoah, IA 51601-4586
Phone (712) 246-7240
300 Pershing Ave
Shenandoah, IA 51601-2355
Phone (712) 246-1230
415 Jefferson St N
Wadena, MN 56482-1264
Phone (218) 631-7495
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Melanoma (skin cancer) excision | 35 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 16 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38581 | IA | MD | Surgery Physician |
| 248293-1 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Androscoggin Valley Hospital, Inc. | Current | Accepting new patients | |
| Astera Health | Current | Accepting new patients | |
| Shenandoah Medical Center | Current | Accepting new patients | |
| Androscoggin Valley Hospital, Inc. | Current | Accepting new patients | |
| Shenandoah Medical Center | Current | Accepting new patients | |
| Astera Health | Current | Accepting new patients | |
| Shenandoah Medical Center | Current | Accepting new patients | |
| Shenandoah Medical Center | Current | Accepting new patients | |
| Weeks Medical Center | Current | Accepting new patients | |
| Weeks Medical Center | Surgery | Current | Accepting new patients |
| Weeks Medical Center | Current | Accepting new patients | |
| Shenandoah Medical Center | Surgery | Current | Accepting new patients |
| St Lukes Health Resources | Surgery | Past | Accepting new patients |
| Androscoggin Valley Hospital Inc | Surgery | Past | Accepting new patients |
Locations
1 Jack Foster Dr
Shenandoah, IA 51601
Phone (712) 246-7240
300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230
415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510
421 11th St NW
Wadena, MN 56482
Phone (218) 631-3510
59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200
7 Page Hill Rd
Berlin, NH 03570
Phone (603) 326-5827
173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911
173 Middle St
#A
Lancaster, NH 03584
Phone (603) 788-5310
Interoperability endpoints
- rebeccarose@shenmed.allscriptsdirect.net
- rrose661563@direct.ochin.org
- rrose797898@direct.centracare.com
Organizations & group practices 15
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.
-
- Critical Access Hospital
- Shenandoah, IA
- NPI 1184621096
-
- Certified Registered Nurse Anesthetist
- Shenandoah, IA
- NPI 1497810972
-
- Critical Access Hospital
- Berlin, NH
- NPI 1386680593
-
- Rural Health Clinic/Center
- Whitefield, NH
- NPI 1508819566
-
- Critical Access Hospital
- Lancaster, NH
- NPI 1265536718
-
dba SMC Community Pharmacy
- Community/Retail Pharmacy
- Shenandoah, IA
- NPI 1447937230
-
dba Shenandoah Memorial Hospital
- Emergency Medicine Physician
- Shenandoah, IA
- NPI 1497810956
-
dba Shenandoah Memorial Hospital
- Surgery Physician
- Shenandoah, IA
- NPI 1952466419
-
- Medicare Defined Swing Bed Hospital Unit
- Berlin, NH
- NPI 1134266679
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Red Oak, IA
- NPI 1376539338
-
- Critical Access Hospital
- Shenandoah, IA
- NPI 1184621096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1609015577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JACK FOSTER DR",
"city": "SHENANDOAH",
"state": "IA",
"postal_code": "516014586",
"telephone_number": "712-246-7485",
"fax_number": "712-246-7036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JACK FOSTER DR",
"city": "SHENANDOAH",
"state": "IA",
"postal_code": "516014586",
"telephone_number": "712-246-7485",
"fax_number": "712-246-7036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "REBECCA",
"middle_name": "JUDENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "248293-1",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "38581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7728720",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00805363",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025458000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00606",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS",
"identifier": "260558",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rebeccarose@shenmed.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1 Jack Foster Dr",
"city": "Shenandoah",
"state": "IA",
"country_code": "US",
"postal_code": "516014586",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "GARNER",
"middle_name": "JUDENE",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Shenandoah, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.