Jessica Rose Rotolo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8413 Issued in GA

Practice address

29 Taylor Ave Ste 101
Crossville, TN 38555-4536

Phone

(931) 484-6061

Fax

(931) 484-6062

NPI assigned

Aug 7, 2017

Sex

Female

Sole proprietor

No

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 TN

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cumberland Dermatology PCGroup PAC ID 1355305897, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.64 of 100Reported as group

Quality

86.4

Promoting interoperability

94

Improvement activities

40

Cost

97.39

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Cumberland Dermatology, P.C.

  • Specialist
  • Crossville, TN
  • NPI 1346236361
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1366967739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 TAYLOR AVE STE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554536",
            "telephone_number": "931-484-6061",
            "fax_number": "931-484-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 TAYLOR AVE STE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554536",
            "telephone_number": "931-484-6061",
            "fax_number": "931-484-6062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385012439",
            "country_code": "US",
            "telephone_number": "931-484-6061",
            "fax_number": "931-484-6062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTOLO",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole C Robbins, AU.D.
• Kayla Roberts
• Rocky Top ENT & Allergy, PLLC
• Kennie Rene Rodriguez, APRN
• Mildred Faye Roe, NA
• Rowan Chiropractic
• Andrew Charles Rowan, D.C.
• Patricia Mae Roysden
• Kylie Dayne Rozelle, DDS
• Rural Health Clinic of the Cumberlands, Inc

• Physician Assistant in Crossville, TN
• Providers in Crossville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.