Active NPI
Rebecca Ann Rose, PA
- Physician Assistant
- Sanford, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2196
- Practice address
- 25A June St Ste 11
Sanford, ME 04073-2642 - Phone
- (207) 490-7900
- Fax
- (207) 490-7969
- NPI assigned
- Feb 9, 2006
- Last updated
- Jan 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2196 | ME | Primary |
| Physician Assistant | 363A00000X | 2385 | NH |
Addresses
Primary practice location
25A June St Ste 11
Sanford, ME 04073-2642
Mailing address
25A June St Ste 11
Sanford, ME 04073-2642
Phone (207) 490-7900
Other practice location 1
1976 White Mountain Hwy Ste 105
North Conway, NH 03860-5147
Phone (603) 356-4940
Other practice location 2
10 Goodall Dr Ste 900
East Waterboro, ME 04030-5233
Phone (207) 490-7505
Other practice location 3
2 Livewell Dr
Kennebunk, ME 04043-6762
Phone (207) 467-6900
Other practice location 4
655 Main St
Saco, ME 04072-1699
Phone (207) 294-5600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30332536 | Medicaid | NH | |
| 0400503YPNH01 | Other | NH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Goodall Dr
Suite 900
East Waterboro, ME 04030-5233
Phone (207) 490-7760
1976 White Mountain Hwy
Suite 105
North Conway, NH 03860-5147
Phone (603) 356-4940
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905
25 A June St
Sanford, ME 04073-2642
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0457 | NH | MD | Occupational Therapy Assistant |
| 2385 | NH | MD | Pediatric Occupational Therapist |
| 457 | NH | MD | Speech-Language Pathologist |
| PA2196 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth New Hampshire Ambulatory Care | Current | Accepting new patients |
Locations
10 Goodall Dr
Ste 900
East Waterboro, ME 04030
Phone (207) 490-7505
2 Livewell Dr
Kennebunk, ME 04043
Phone (207) 467-6900
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
655 Main St
Saco, ME 04072
Phone (207) 283-1407
25A June St
Sanford, ME 04073
Phone (207) 324-4310
25A June St
Ste 11
Sanford, ME 04073
Phone (207) 282-3666
1976 White Mountain Hwy
Ste 105
North Conway, NH 03860
Phone (603) 356-4940
Interoperability endpoints
- rrose369622@direct.mmc.mainehealth.org
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.
-
dba MaineHealth Urgent Care
- Urgent Care Clinic/Center
- North Conway, NH
- NPI 1356145148
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
dba Geriatric Consults
- Geriatric Medicine (Internal Medicine) Physician
- Portland, ME
- NPI 1164610242
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MMP Orthopedics ( Div of Orthopedic Trauma & Fracture Care)
- Orthopaedic Trauma Physician
- Portland, ME
- NPI 1003113127
Hospital
-
dba Maine Hemophilia and Thrombosis Center
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
dba Maine Medical Center Infectious Disease
- Infectious Disease Physician
- Portland, ME
- NPI 1073701157
Hospital
-
dba Geriatric Consults
- Geriatric Medicine (Internal Medicine) Physician
- Portland, ME
- NPI 1164610242
Hospital
-
dba MMC Pediatric Intensive Care Unit
- Pediatric Critical Care Medicine Physician
- Portland, ME
- NPI 1265536817
Hospital
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
-
dba Maine Medical Partners Endocrinlogy & Diabetes
- Endocrinology, Diabetes & Metabolism Physician
- Scarborough, ME
- NPI 1356651038
Hospital
-
dba MMC Pediatric Urology
- Pediatric Urology Physician
- Portland, ME
- NPI 1457540486
Hospital
-
dba Maine Medical Partners Pediatric Specialty Care
- Gastroenterology Physician
- Portland, ME
- NPI 1477850592
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1235102336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25A JUNE ST STE 11",
"city": "SANFORD",
"state": "ME",
"postal_code": "040732642",
"telephone_number": "207-490-7900",
"fax_number": "207-490-7969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25A JUNE ST STE 11",
"city": "SANFORD",
"state": "ME",
"postal_code": "040732642",
"telephone_number": "207-490-7900",
"fax_number": "207-490-7969"
}
],
"practiceLocations": [
{
"address_1": "1976 White Mountain Hwy Ste 105",
"address_purpose": "LOCATION",
"city": "North Conway",
"state": "NH",
"postal_code": "038605147",
"country_code": "US",
"telephone_number": "603-356-4940",
"fax_number": "603-371-3250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Goodall Dr Ste 900",
"address_purpose": "LOCATION",
"city": "East Waterboro",
"state": "ME",
"postal_code": "040305233",
"country_code": "US",
"telephone_number": "207-490-7505",
"fax_number": "207-490-7529",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Livewell Dr",
"address_purpose": "LOCATION",
"city": "Kennebunk",
"state": "ME",
"postal_code": "040436762",
"country_code": "US",
"telephone_number": "207-467-6900",
"fax_number": "207-467-6921",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "655 Main St",
"address_purpose": "LOCATION",
"city": "Saco",
"state": "ME",
"postal_code": "040721699",
"country_code": "US",
"telephone_number": "207-294-5600",
"fax_number": "207-294-3565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "REBECCA",
"middle_name": "ANN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA2196",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "2385",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30332536",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0400503YPNH01",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.