Individual provider Active NPI

Patricia Rosati, CRNP

  • Family Nurse Practitioner
  • Hazleton, PA
National Provider Identifier
1184006942
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015038 Issued in PA
Practice address
1740 E Broad St
Hazleton, PA 18201-5667
Phone
(570) 459-2901
NPI assigned
Jun 29, 2015
Last updated
Jun 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP015038 PA Primary

Addresses

Primary practice location

1740 E Broad St
Hazleton, PA 18201-5667

Mailing address

137 Philadelphia Ave
West Pittston, PA 18643-2707
Phone (570) 954-1369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20150924002117 PA Practitioner - Nurse Practitioner 2961710991 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleanslate Medical Group of Pennsylvania LLCGroup PAC ID 8426334400, 20 clinicians

Practice addresses (Care Compare)

100 N Wilkes Barre Blvd
Suite 103
Wilkes Barre, PA 18702-5240
Phone (413) 584-2173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP015038PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Care Associates PC CurrentSince Aug 28, 2022 Accepting new patients
Cleanslate Medical Group of Pennsylvania LLC CurrentSince Jun 1, 2023 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Aug 31, 2015 Accepting new patients

Locations

244 Main St
Northampton, MA 01060

501 Howard Ave
Ste B204
Altoona, PA 16601
Phone (814) 201-2835

100 N Academy Ave
Danville, PA 17822

1740 E Broad St
Hazleton, PA 18201
Phone (570) 459-2901

490 Northampton St
Ste 1
Kingston, PA 18704
Phone (570) 288-8100

3380 Memphis St
Philadelphia, PA 19134
Phone (215) 426-5566

1020 W Lackawanna Ave
Scranton, PA 18504
Phone (570) 290-3792

100 N Wilkes Barre Blvd
Ste 103
Wilkes Barre, PA 18702
Phone (570) 846-2720

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1184006942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 PHILADELPHIA AVE",
            "city": "WEST PITTSTON",
            "state": "PA",
            "postal_code": "186432707",
            "telephone_number": "570-954-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015667",
            "telephone_number": "570-459-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSATI",
        "first_name": "PATRICIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.