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

Nicole E Rose

Individual provider Family Nurse Practitioner · NPI 1922697572

Nicole E Rose is a Nurse Practitioner in Mishawaka, Indiana. Qualified in 2020, 6 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2021
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Practice location Address checks out

5314 Lincolnway E
Mishawaka, IN 46544-4249
Phone: (574) 584-2812
Fax: (574) 584-2813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 202 Lincolnway E Ste 201, Mishawaka, IN 46544-2079 — (574) 584-2812

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71010889A (IN)

Record details

NPI number1922697572
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 18, 2021
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mishawaka