Italia Rose, NP
Individual provider Active NPI Family Nurse Practitioner · Barneveld, NY
NPI 1215560693 · NPPES record last updated Jan 15, 2026
Key facts
- NPI
- 1215560693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 357989 (NY)
- Practice address
- 7980 State Route 12
Barneveld, NY 13304-2536 - Phone
- (315) 624-8404
- Fax
- (315) 624-8842
- NPI assigned
- Feb 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MVHS Inc
Practice addresses (Care Compare)
7980 State Route 12
Barneveld, NY 13304-2536
Phone (315) 624-8440
Hospital & facility affiliations
- Wynn Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260123000846 | NY | Practitioner - Nurse Practitioner | 3476030107 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN95212981 | CA | MD | Adult Psychiatric/Mental Health Registered Nurse |
| 357989 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVHS Inc | Current |
Accepting new patients | |
| MVHS Inc | Current |
Accepting new patients |
Locations
7980 State Route 12
Barneveld, NY 13304
Phone (315) 624-8440
1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | RN95212981 | CA | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN95212981 | CA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN95212981 | CA | |
| Family Nurse Practitioner | 363LF0000X | 357989 | NY | Yes |
Addresses
Primary practice location
7980 State Route 12
Barneveld, NY 13304-2536
Mailing address
111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 624-6100
Other practice location 1
3853 Rosecrans St
San Diego, CA 92110-3115
Phone (619) 615-0439
Other names
- Italia Larocco
Other providers in Barneveld, NY
- Benjamin W Neal
- North Country Eye Assoc..LLC
- Nortstar Transportation
- Wallis Elizabeth Patulski
- Bikash Regmi
- Autum Leigh Rotach
- Emy Sauer
- Amanda Marie Scalise
- Joseph Scalise
- Christie Seaver
All providers in Barneveld, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.