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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Stacy Ruth Rose, CRNP

Women's Health Nurse Practitioner in Willoughby, OH · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689658031

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Registry record

Entity type Individual (Type 1)
Name Mrs. Stacy Ruth Rose
Credential CRNP
Sex Female
Practice address 4176 State Route 306, Willoughby, OH, 44094
Phone (440) 918-4630
Fax (440) 918-4620
Enumeration date Nov 30, 2005
Last updated in NPPES Mar 3, 2021

Taxonomy & licenses

363LW0102X Women's Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License COA.06089-NP (OH) Primary

Other identifiers

Identifier Type State Issuer
2203627 Medicaid OH -
H020110 Other OH MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1689658031 active?
Yes, as of the latest NPPES snapshot, NPI 1689658031 is active (record last updated 2021-03-03).
How do I verify Stacy Rose's NPI record?
Cross-check NPI 1689658031 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-03.