Mallarie Laurissa Paige Rosel, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3698 Issued in KY

Practice address

2350 Regency Rd Ste a
Lexington, KY 40503-2351

Phone

(859) 278-4960

Fax

(859) 278-0033

NPI assigned

Dec 16, 2024

Last updated

Sep 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• United Surgical Associates, P.S.C.

  dba Fayette Surgical Associates

  • Surgery Physician
  • Lexington, KY
  • NPI 1831140565
  Medicare reassignment

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1235946906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 REGENCY RD STE A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032351",
            "telephone_number": "859-278-4960",
            "fax_number": "859-278-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 REGENCY RD STE A",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032351",
            "telephone_number": "859-278-4960",
            "fax_number": "859-278-0033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Pasadena Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405032925",
            "country_code": "US",
            "telephone_number": "859-278-4960",
            "fax_number": "859-278-0033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEL",
        "first_name": "MALLARIE",
        "middle_name": "LAURISSA PAIGE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Rose, MS
• Stephanie Andrea Rose, M.D.
• Sydney E Rose
• Tarah B Rose, CRNA
• Jill C Roseberry
• Emili Roseman
• Randy Allen Rosen, M.D.
• Jens Rosenau
• Frederick Jay Rosenblum, MD
• Kyle Rosenstein, MD

• Physician Assistant in Lexington, KY
• Providers in Lexington, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.