Andrew N Rose, PA C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1560 Issued in NV

Practice address

1925 Whipple Ave # 30
Logandale, NV 89021

Phone

(702) 398-3621

Fax

(023) 983-6267

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mesquite Clinic Management Company LLCGroup PAC ID 8123456456, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mesa View Home Care LLC Home health agency, Mesquite, NV, CCN 297160
• Comfort Home Health Home health agency, Las Vegas, NV, CCN 297149
• Mesa View Regional Hospital Hospital, Mesquite, NV, CCN 291307
• St. George Regional Hospital Hospital, St George, UT, CCN 460021

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mesquite Clinic Management Company LLC

  • Internal Medicine Physician
  • Mesquite, NV
  • NPI 1548800501
  Medicare reassignment Care Compare group
• Mesquite Clinic Management Company LLC

  • Rural Health Clinic/Center
  • Logandale, NV
  • NPI 1982275236
  NPD

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

• Mesa View Home Care, LLC

  • Home Health Agency
  • Mesquite, NV
  • NPI 1811174196
  Care Compare affiliation
• MMC of Nevada LLC

  • Critical Access Hospital
  • Mesquite, NV
  • NPI 1275588782
  Care Compare affiliation
• Summerlin Healthcare, Inc.

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1639714967
  Care Compare affiliation
• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • St George, UT
  • NPI 1366452880
  Care Compare affiliation

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1881663185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 WHIPPLE AVE # 30",
            "city": "LOGANDALE",
            "state": "NV",
            "postal_code": "890219934",
            "telephone_number": "702-398-3621",
            "fax_number": "702-398-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 WHIPPLE AVE # 30",
            "city": "LOGANDALE",
            "state": "NV",
            "postal_code": "89021",
            "telephone_number": "702-398-3621",
            "fax_number": "023-983-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ANDREW",
        "middle_name": "N",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200359270A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0000426927",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mesquite Clinic Management Company LLC
• Moapa Valley Fire Protection District
• Nonpareil Care LLC
• Patient Medical Transport
• Melanie Robison
• Erika Whitmore

• Medical Physician Assistant in Logandale, NV
• Providers in Logandale, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.

Verify at the official NPI Registry.