Active NPI
Nadine L Rossi, PA
- Physician Assistant
- York, PA
National Provider Identifier
1346599404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA055564
- Practice address
- 2058 S Queen St
York, PA 17403-4829 - Phone
- (888) 520-5060
- Fax
- (717) 812-3950
- NPI assigned
- Sep 5, 2012
- 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 | MA055564 | PA | Primary |
Addresses
Primary practice location
2058 S Queen St
York, PA 17403-4829
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-1405
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1612826 | Other | PA | GATEWAY MEDICARE ASSURED |
| 2746292 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA055564 | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501200000000",
"number": "1346599404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2058 S QUEEN ST",
"city": "YORK",
"state": "PA",
"postal_code": "174034829",
"telephone_number": "888-520-5060",
"fax_number": "717-812-3950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSI",
"first_name": "NADINE",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2017-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA055564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY MEDICARE ASSURED",
"identifier": "1612826",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "2746292",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.