Individual provider Active NPI

Kristi Hackworth Rose, MD

  • Pain Medicine (Anesthesiology) Physician
  • Charlottesville, VA
National Provider Identifier
1013176437
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
0101256899 Issued in VA
Practice address
2331 Seminole LN Ste 201
Charlottesville, VA 22901-8319
Phone
(434) 293-4995
Fax
(434) 971-3434
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101256899 VA
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 0101256899 VA
Pain Medicine (Anesthesiology) Physician 207LP2900X 0101256899 VA Primary

Addresses

Primary practice location

2331 Seminole LN Ste 201
Charlottesville, VA 22901-8319

Mailing address

PO Box 9007
Suite 207
Charlottesville, VA 22906-9007

Other practice location 1

1215 Lee St
2nd Floor
Charlottesville, VA 22908-0001
Phone (434) 924-2283

Other names 1

  • Kristi D Hackworth Rose Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krose7498@direct.healthsystem.virginia.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150129000566 VA Practitioner - AnesthesiologyPractitioner - Pain ManagementPractitioner - Critical Care (Intensivists) 0042454639 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Utah School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Jun 1, 2016 Accepting new patients
Centra Medical Group, LLC CurrentSince Mar 1, 2022 Accepting new patients
Commonwealth Anesthesia Associates, P.C. Anesthesiology CurrentSince Nov 8, 2014 Accepting new patients
Pacific Anesthesia PC Anesthesiology Past Accepting new patients

Locations

1215 Lee St
Fl 2
Charlottesville, VA 22908
Phone (434) 243-6628

1240 Lee St
Charlottesville, VA 22908

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

2331 Seminole Ln
Ste 201
Charlottesvle, VA 22901
Phone (434) 293-4995

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

1937 Thomson Dr
Lynchburg, VA 24501
Phone (434) 200-6965

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1013176437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "address_2": "SUITE 207",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 SEMINOLE LN STE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018319",
            "telephone_number": "434-293-4995",
            "fax_number": "434-971-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080001",
            "country_code": "US",
            "telephone_number": "434-924-2283",
            "fax_number": "434-982-0019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "KRISTI",
        "middle_name": "HACKWORTH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101256899",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "VA",
            "license": "0101256899",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0101256899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krose7498@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1215 Lee St",
            "address_2": "2nd Floor",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229080001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "HACKWORTH ROSE",
            "middle_name": "D",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.