Rose Marie Bard-Jensen, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

313581 Issued in AZ

Practice address

5263 S Highway 95
Fort Mohave, AZ 86426-9223

Phone

(928) 704-6400

Fax

(928) 768-1150

NPI assigned

Oct 22, 2024

Last updated

Oct 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in AZ

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

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bullhead City Clinic CorpGroup PAC ID 1052317575, 23 clinicians

Northwest Urgent Care LLCGroup PAC ID 9830506062, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Western Arizona Regional Medical Center Hospital, Bullhead City, AZ, CCN 030101
• Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rose.bard-jensen.1@1575.direct.athenahealth.com
• Direct secure messaging: rose.bard-jensen.2@1575.direct.athenahealth.com

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.

• Bullhead City Clinic Corp

  • Surgery Physician
  • Bullhead City, AZ
  • NPI 1962429878
  Medicare reassignment Care Compare group NPD
• Northwest Urgent Care LLC

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1528683455
  Medicare reassignment Care Compare group NPD
• Bullhead City Clinic Corp

  dba Laughlin Walk In Care

  • Family Medicine Physician
  • Laughlin, NV
  • NPI 1700240884
  NPD

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

• Bullhead City Hospital Corporation

  dba Western Arizona Regional Medical Center

  • General Acute Care Hospital
  • Bullhead City, AZ
  • NPI 1255302766
  Care Compare affiliation
• Bullhead City Hospital Corporation

  dba Fox Creek Urgent Care

  • Urgent Care Clinic/Center
  • Bullhead City, AZ
  • NPI 1780996223

  Hospital

  Care Compare affiliation
• PHC-Fort Mohave Inc

  dba Valley View Medical Center

  • General Acute Care Hospital
  • Fort Mohave, AZ
  • NPI 1811086994
  Care Compare affiliation

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1912728965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5263 S HIGHWAY 95",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269223",
            "telephone_number": "928-704-6400",
            "fax_number": "928-768-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARD-JENSEN",
        "first_name": "ROSE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "313581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona Physician Services LLC
• Assisted Living Locators - Transportation
• Assisted Living Locators-Transportation
• Ian Lloyd Ruiz Baccay, RN
• Patrick L Ballou, PA-C
• Kayla Barnett, PA-C
• Alan Joseph Barton, MD
• Hylie Elaine Barton, BCBA
• Mervat Basta, M.D.
• Thomas Baughman, L.I.S.A.C.

• Family Nurse Practitioner in Fort Mohave, AZ
• Providers in Fort Mohave, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.
• 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.