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

Tracy Sue Rose, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1770291148

Tracy Sue Rose, AGACNP-BC is a Nurse Practitioner in Lafayette, Indiana. Qualified in 2021, 5 years ago. Practices with Franciscan Physician Network, a 1,171-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1701 S Creasy Ln
Lafayette, IN 47905-4972
Phone: (765) 502-4000
Fax: (765) 502-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 71013031A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71013031A (IN)

Record details

NPI number1770291148
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedNovember 14, 2022
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023

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 Franciscan Physician Network — 1171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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