Individual provider Active NPI

Rebecca Judene Rose, MD

  • Surgery Physician
  • Shenandoah, IA
National Provider Identifier
1609015577
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
38581 Issued in IA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7728720MedicaidSD
P00805363OtherIARR MEDICARE
10025458000MedicaidNE
00606MedicaidIA
260558OtherMIDLANDS

Other names 1

  • Dr. Rebecca Judene Garner Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebeccarose@shenmed.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NH, MN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090915000032 IA Practitioner - General Surgery 5092861187 Reassigns benefits to 2 organizations
I20250117001091 NH Practitioner - General Surgery 5092861187 Reassigns benefits to 4 organizations
I20250328001409 MN Practitioner - General Surgery 5092861187 Reassigns benefits to 2 organizations

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 CenterGroup PAC ID 9436063237, shared by 7 NPIs, 52 clinicians
Astera HealthGroup PAC ID 2961395272, shared by 8 NPIs, 106 clinicians

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

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision35
Removal of skin lesions1-10
Removal or shaving of skin growth16
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38581IAMDSurgery Physician
248293-1NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Androscoggin Valley Hospital, Inc. CurrentSince Dec 11, 2024 Accepting new patients
Astera Health Current Accepting new patients
Shenandoah Medical Center Current Accepting new patients
Androscoggin Valley Hospital, Inc. CurrentSince Dec 11, 2024 Accepting new patients
Shenandoah Medical Center CurrentSince Mar 4, 2014 Accepting new patients
Astera Health CurrentSince Apr 1, 2025 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 CurrentSince Dec 11, 2024 Accepting new patients
Weeks Medical Center CurrentSince Dec 11, 2024 Accepting new patients
Shenandoah Medical Center Surgery CurrentSince Mar 4, 2014 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

  • Direct secure messaging: rebeccarose@shenmed.allscriptsdirect.net
  • Direct secure messaging: rrose661563@direct.ochin.org
  • Direct secure messaging: 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.

View all 15

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.