Grace Colarossi

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

1641 Tamiami TRL Ste 1
Port Charlotte, FL 33948-1018

Phone

(941) 629-6262

NPI assigned

Oct 7, 2024

Last updated

Oct 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Farhan Siddiqi MD PAGroup PAC ID 4284936113, 14 clinicians

Advanced Orthopedic Center of Charlotte County, PAGroup PAC ID 0042106528, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
• HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
• HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

• Farhan Siddiqi, MD PA

  • Orthopaedic Surgery of the Spine Physician
  • Odessa, FL
  • NPI 1750752291
  Medicare reassignment Care Compare group NPD
• Advanced Orthopedic Center of Charlotte County, PA

  • Orthopaedic Surgery Physician
  • Port Charlotte, FL
  • NPI 1639177579
  Medicare reassignment Care Compare group
• Advanced Orthopedic Center of Charlotte County, PA

  • Orthopaedic Surgery Physician
  • Venice, FL
  • NPI 1619795317
  NPD
• Farhan Siddiqi, MD PA

  • Orthopaedic Surgery Physician
  • Wesley Chapel, FL
  • NPI 1003672700
  NPD
• Advanced Orthopedic Center of Charlotte County, PA

  • Orthopaedic Surgery Physician
  • North Port, FL
  • NPI 1154237527
  NPD (past)

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

• Adventhealth Port Charlotte Inc

  dba Adventhealth Port Charlotte

  • General Acute Care Hospital
  • Port Charlotte, FL
  • NPI 1760299093
  Care Compare affiliation
• Fawcett Memorial Hospital, Inc.

  dba HCA Florida Fawcett Hospital

  • General Acute Care Hospital
  • Port Charlotte, FL
  • NPI 1417901406
  Care Compare affiliation
• HCA Health Services of Florida, Inc.

  dba HCA Florida Bayonet Point Hospital

  • General Acute Care Hospital
  • Hudson, FL
  • NPI 1992759419
  Care Compare affiliation

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1063231264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARKSIDE CIR UNIT 6312",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 TAMIAMI TRL STE 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481018",
            "telephone_number": "941-629-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAROSSI",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Rosann Cochran, LMHC
• Rebecca Coey, ARNP
• Michael A Coffey, MD
• Jerome B Cohen, MD
• Louise A Cohen, MD
• Cole Vision Corporation (Sears Optical #C0694)
• Calvin Edward Collins Sr., LMHC
• Devonne Collins, ARNP
• Michael Collins, APRN, PMHNP
• Jose Colon, MD

• Surgical Physician Assistant in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.