Individual provider Active NPI

Rebekah Kathleen Rossetta, CPNP-PC

  • Pediatric Nurse Practitioner
  • White City, OR
National Provider Identifier
1003381815
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
10021593 Issued in OR
Practice address
8385 Division Rd
White City, OR 97503-1176
Phone
(541) 773-3863
NPI assigned
Oct 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 10021593 OR Primary

Addresses

Primary practice location

8385 Division Rd
White City, OR 97503-1176

Mailing address

1221 Disk Dr
Medford, OR 97501-6638
Phone (541) 773-3863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190401000894 TN Practitioner - Nurse Practitioner 9032450051
I20240315000745 OR Practitioner - Nurse Practitioner 9032450051 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Community Health CurrentSince Mar 11, 2024 Accepting new patients
Rogue Community Health CurrentSince Mar 11, 2024 Accepting new patients
Darsalud Community Center Inc Past Accepting new patients
Darsalud Community Center Inc PastSince Sep 3, 2020 Accepting new patients

Locations

19 Myrtle St
Medford, OR 97504
Phone (541) 773-4563

1221 Disk Dr
Medford, OR 97501

8385 Division Rd
White City, OR 97503
Phone (541) 500-0989

Interoperability endpoints

  • Direct secure messaging: rrossetta695928@direct.ochin.org
  • Direct secure messaging: rebekah.rossetta.p1@direct.hcchc.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1003381815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 DISK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975016638",
            "telephone_number": "541-773-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8385 DIVISION RD",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975031176",
            "telephone_number": "541-773-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSETTA",
        "first_name": "REBEKAH",
        "middle_name": "KATHLEEN",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "10021593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White City, OR

Sources for this page

Verify at the official NPI Registry.