Individual provider Active NPI

Danielle Lynn Rose, NP-C

  • Family Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1851435994
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113145 Issued in NE
Practice address
8031 Campus Delivery
Csu-Hartshorn Health Center
Fort Collins, CO 80523-8031
Phone
(970) 491-1735
NPI assigned
Feb 19, 2007
Last updated
May 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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 113145 NE Primary

Addresses

Primary practice location

8031 Campus Delivery
Csu-Hartshorn Health Center
Fort Collins, CO 80523-8031

Mailing address

PO Box 1302
Scottsbluff, NE 69363-1302
Phone (970) 372-8754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20200810003163 NE Practitioner - Nurse Practitioner 9335564152 Reassigns benefits to 2 organizations

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
Community Action Partnership of Western NebraskaGroup PAC ID 2860399714, 18 clinicians

Practice addresses (Care Compare)

975 Crescent Dr
Gering, NE 69341-1712
Phone (308) 632-2540

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113145NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Partnership of Western Nebraska CurrentSince Jun 23, 2020 Accepting new patients
Chadron Community Hospital Corp. Past Accepting new patients

Locations

619 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-3696

3350 10th St
Gering, NE 69341
Phone (308) 635-3089

975 Crescent Dr
Gering, NE 69341
Phone (308) 632-2540

Interoperability endpoints

  • Direct secure messaging: danielle.rose.p1@direct.capwn.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1851435994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1302",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693631302",
            "telephone_number": "970-372-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 CAMPUS DELIVERY",
            "address_2": "CSU-HARTSHORN HEALTH CENTER",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805238031",
            "telephone_number": "970-491-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "DANIELLE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.