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

Mr. Riley D Rose, AG/ACNP

Individual provider Wound Care Registered Nurse · NPI 1356776918

Mr. Riley D Rose, AG/ACNP is a Nurse Practitioner in Marion, Indiana. Qualified in 2013, 13 years ago. Practices with Marion General Hospital, a 117-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
13
Licensed in
IN
In the registry since
2013
Specialties on file
3

Practice location Address checks out

1406 W Bella Dr
Marion, IN 46953-5229
Phone: (765) 660-7720
Fax: (765) 662-4493
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 741004600A (IN)
Wound Care Registered Nurse Taxonomy 163WW0000X · Licence 28161345A (IN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 741004600A (IN)

Record details

NPI number1356776918
Entity typeIndividual (Type 1)
GenderMale
Credentials AG/ACNP
Sole proprietorNo
NPI enumeratedSeptember 13, 2013
Last updated in NPPESOctober 21, 2020
Certification dateOctober 21, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Marion General Hospital — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare