Carri L Ross, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

009577-1 Issued in NY

Practice address

4104 Vestal Rd
Vestal Executive Park Suite 203
Vestal, NY 13850-3500

Phone

(607) 797-9036

Fax

(607) 798-0601

NPI assigned

Nov 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Carri L Mayes Professional name

Medicare fee-for-service enrollment

Enrolled in NY

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Season Dermatology PLLCGroup PAC ID 3577820851, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.88 of 100Reported as group

Quality

97.2

Improvement activities

40

Cost

100

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• New Season Dermatology, PLLC

  • MOHS-Micrographic Surgery Physician
  • Johnson City, NY
  • NPI 1992215180
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1124009261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 VESTAL RD.",
            "address_2": "VESTAL EXECUTIVE PARK SUITE 203",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "13850",
            "telephone_number": "607-797-9036",
            "fax_number": "607-798-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 VESTAL RD",
            "address_2": "VESTAL EXECUTIVE PARK SUITE 203",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503500",
            "telephone_number": "607-797-9036",
            "fax_number": "607-798-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CARRI",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "0095771",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "009577-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRI",
            "last_name": "MAYES",
            "middle_name": "L",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elyse M Romaniak, PA-C
• Elizabeth A Rosato, M.D.
• Emily S Rose, MS, CCC-SLP
• Joy Roselle, NURSE PRACTITIONER
• Stacey Hope Rosman, NP
• Maggie Ross, FNP
• Valerie H Ross, MD
• Adla Rouhana, CRNA
• Nicole A Rouhana, FNP
• Hyman Rubin, LCSW-R

• Dermatology Physician in Vestal, NY
• Providers in Vestal, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.