SCOT ROSE PMHNP-BC NPI 1356108450

NPI Information

  • NPI: 1356108450
  • Provider Name: SCOT ROSE, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3409 LUDINGTON ST
    ESCANABA, MI
    ZIP 49829
  • Phone: (906) 786-8343

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NPI Details

Scot Rose, PMHNP-BC is a psychiatric/mental health nurse practitioner in Escanaba, MI with 3 years of experience. Scot Rose, PMHNP-BC NPI is 1356108450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3409 LUDINGTON ST
ESCANABA, MI
ZIP 49829-212
Phone: (906) 786-8343
Fax: (906) 786-4430

The NPI 1356108450 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/5/2024 and was last updated on 8/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner4704267357MICHIGANNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health4704267357MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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