Individual provider Active NPI

Christine Ellen Rose, RPA

  • Medical Physician Assistant
  • Canandaigua, NY
National Provider Identifier
1235233917
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
005136-1 Issued in NY
Practice address
401 S Main St
Canandaigua, NY 14424-2157
Phone
(585) 394-1875
Fax
(585) 394-1878
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 005136-1 NY Primary

Addresses

Primary practice location

401 S Main St
Canandaigua, NY 14424-2157

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 554-3119

Other practice location 1

213 State Route 245
Rushville, NY 14544-9604
Phone (585) 554-3119

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crose284619@direct.rochesterregional.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051227000527 NY Practitioner - Physician Assistant 4880616366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
005136-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice, P.C. CurrentSince Jan 27, 2020 Accepting new patients
Rochester General Hospital CurrentSince Jan 27, 2020 Accepting new patients
Rochester General Hospital CurrentSince Jan 27, 2020 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Jan 27, 2020 Accepting new patients

Locations

401 S Main St
Canandaigua, NY 14424
Phone (585) 394-1875

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

213 State Route 245
Rushville, NY 14544
Phone (585) 554-3119

Interoperability endpoints

  • Direct secure messaging: crose284619@direct.rochesterregional.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1235233917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-554-3119",
            "fax_number": "585-554-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242157",
            "telephone_number": "585-394-1875",
            "fax_number": "585-394-1878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 State Route 245",
            "address_purpose": "LOCATION",
            "city": "Rushville",
            "state": "NY",
            "postal_code": "145449604",
            "country_code": "US",
            "telephone_number": "585-554-3119",
            "fax_number": "585-394-9089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CHRISTINE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "005136-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crose284619@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "401 S Main St",
            "city": "Canandaigua",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144242157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.