Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chanda M Rose, CNP

Individual provider Family Nurse Practitioner · NPI 1356009765

Chanda M Rose, CNP is a Nurse Practitioner in Tucumcari, New Mexico. Qualified in 2021, 5 years ago. Practices with Presbyterian Medical Services, a 132-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
5
Licensed in
NM
In the registry since
2021
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1302 E Main St
Tucumcari, NM 88401-2508
Phone: (754) 612-2005
Fax: (575) 461-2213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 — (575) 472-4311

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP-66220 (NM)

Record details

NPI number1356009765
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedDecember 2, 2021
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024
Mailing address1302 E Main St, Tucumcari, NM 88401-2508

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Presbyterian Medical Services — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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