Doctor profile · Federal record
Dr. Stacy Rose, CRNP
Women's Health Nurse Practitioner · Willoughby, OH
- NPI 1689658031
- 21 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4176 State Route 306
Willoughby, OH 440949203
(440) 918-4630
fax (440) 918-4620 - Mailing address
-
7590 Auburn Road, Suite 014, Attn: MED Staff
Concord Twp, OH 440779176
Credentials & registration
- NPI registered
- November 2005 — 21 yrs on file
- Profile last updated
- March 3, 2021
- Specialty taxonomy
- 363LW0102X — NUCC code
- State license (1)
- Ohio #COA.06089-NP
- Medicaid
- OH #2203627
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1689658031. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$24
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Hologic Sales and Service, LLC | 1 | $24.05 |
By nature of payment
Frequently asked questions
What is Dr. Stacy Rose's medical specialty?
Dr. Stacy Rose practices Women's Health Nurse Practitioner in Willoughby, OH.
Where does Dr. Stacy Rose practice?
Dr. Stacy Rose practices at 4176 State Route 306, Willoughby, OH 440949203. Office phone: 4409184630.
What is Dr. Stacy Rose's NPI?
Dr. Stacy Rose's National Provider Identifier (NPI) is 1689658031, issued by NPPES.