NPIMap

Individual provider Active NPI

Jennifer Lynn Rosics, PA-C

  • Medical Physician Assistant
  • Casper, WY
National Provider Identifier
1356572580
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
TL478 Issued in WY
Practice address
5850 E 2ND St Unit 100
Casper, WY 82609-4343
Phone
(307) 212-6270
NPI assigned
Aug 5, 2009
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X TL478 WY
Medical Physician Assistant 363AM0700X TL478 WY Primary

Addresses

Primary practice location

5850 E 2ND St Unit 100
Casper, WY 82609-4343

Mailing address

2620 Commercial Way Ste 20
Rock Springs, WY 82901-4705
Phone (307) 212-6270

Other practice location 1

419 S Washington St
Suite 200
Casper, WY 82601-2951
Phone (307) 265-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090914000676 WY Practitioner - Physician Assistant 2961558143 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Care Center LLCGroup PAC ID 4385818681, 18 clinicians

Practice addresses (Care Compare)

170 Arrowhead Dr
Suite 2
Evanston, WY 82930-9307
Phone (307) 212-6270

4136 Laramie St
Suite a
Cheyenne, WY 82001-1969
Phone (307) 212-6270

5850 E 2ND St
Unit 100
Casper, WY 82609-4343
Phone (307) 212-6270

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.39 of 100Reported as group
Quality
74.38
Promoting interoperability
99
Improvement activities
40
Cost
67.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
478WYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Care Center, LLC Pain Medicine CurrentSince Jun 1, 2018 Accepting new patients
Glenrock Hospital District CurrentSince Jul 1, 2018 Accepting new patients
Wyoming Health Medical Group, LLC Past Accepting new patients

Locations

5850 E 2nd St
Ste 100
Casper, WY 82609
Phone (307) 472-0207

170 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 448-2753

2620 Commercial Way
Ste 20
Rock Springs, WY 82901
Phone 3072126270114

Interoperability endpoints

  • Direct secure messaging: paincarecenter.jennyrosics@120787.advancedmd-direct.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1356572580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 COMMERCIAL WAY STE 20",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014705",
            "telephone_number": "307-212-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 E 2ND ST UNIT 100",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094343",
            "telephone_number": "307-212-6270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 S Washington St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012951",
            "country_code": "US",
            "telephone_number": "307-265-8300",
            "fax_number": "307-265-8313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSICS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WY",
            "license": "TL478",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WY",
            "license": "TL478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.