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Deactivated NPI 1104876671 Deactivated / Inactive NPI Female Practitioner

Marilynn Charlotte Rose

Nurse Practitioner • Saginaw, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Marilynn Rose has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 12, 2006
NPI Deactivation Date September 07, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Marilynn Rose was a registered Nurse Practitioner practicing in Saginaw, MI. Throughout an active medical career spanning 16 years, Marilynn Rose provided care at the practice location at 2160 N CENTER RD until profile deactivation on 2022-09-07.

Practice Location & Contact Primary Location

Practice Address

2160 N Center Rd

Saginaw, MI 486033717

Telephone 9897992996
Associated Practice Facility / Clinic
🏢 Tendercare (Michigan) Inc. Facility NPI 1063469823

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Saginaw, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
90 Specialists

Practicing in Saginaw, MI (3626 Statewide)

Telehealth Adoption Rate
4.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704084067

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 07, 2022

Record deactivated on September 07, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2160 N CENTER RD, SAGINAW, MI 486033717 (Tel: 9897992996)

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Updated Business Mailing Address July 08, 2007

Registered at 21333 HAGGERTY RD, SUITE 150, NOVI, MI 483755510 (Tel: 2486620250)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARILYNN ROSE

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #4704084067 in MI)

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Initial NPI Registration & Enumeration May 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104876671
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2006
Last Update: July 08, 2007
Deactivation Date: September 07, 2022

Mailing Address

21333 Haggerty Rd, Suite 150

Novi, MI 483755510

Phone: 2486620250

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.