Active NPI
Rosemarie Connor, PA-C
- Physician Assistant
- Port St Lucie, FL
National Provider Identifier
1336115708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2855
- Practice address
- 1095 NW Saint Lucie West Blvd Ste 106
Port St Lucie, FL 34986-1719 - Phone
- (772) 785-5504
- NPI assigned
- Feb 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2855 | FL | Primary |
Addresses
Primary practice location
1095 NW Saint Lucie West Blvd Ste 106
Port St Lucie, FL 34986-1719
Mailing address
1095 NW Saint Lucie West Blvd Ste 106
Port St Lucie, FL 34986-1719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- rosemarie.connor.1@23284.direct.athenahealth.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1336115708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1095 NW SAINT LUCIE WEST BLVD STE 106",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349861719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 NW SAINT LUCIE WEST BLVD STE 106",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349861719",
"telephone_number": "772-785-5504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "ROSEMARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2024-07-11",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA2855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.