Peter Nelson Rosen, APN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A114250 Issued in IA

Practice address

315 E 5TH St Ste 202
Waterloo, IA 50703-4757

Phone

(319) 209-4117

NPI assigned

Oct 16, 2014

Last updated

Mar 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

Opted out of Medicare

Yes, effective Oct 1, 2026 through Oct 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: peterrosen@mic.allscriptsdirect.net

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.

• Mercy Hospital, Iowa City, Iowa

  dba Mercy Hospital

  • General Acute Care Hospital
  • Iowa City, IA
  • NPI 1982664124
  NPD

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1851795033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3172 COUNTRY CT NE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522407966",
            "telephone_number": "319-209-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E 5TH ST STE 202",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034757",
            "telephone_number": "319-209-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "PETER",
        "middle_name": "NELSON",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-16",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "A114250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonja Marie Roland-Ludwig, RPH
• Diane Rolf, LMSW
• Robert Ansley Roof III, D.O.
• Rooted Reflections LLC (Brittany Orzola)
• Nicholas Donald Rosauer, LMSW
• Dov Rotenberg, M.D.
• Haylie Roth
• Jennifer Roth, R.D.
• Cathy A Rottinghaus, LMSW
• Eric M Rottinghaus, DC

• Family Medicine Physician in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.