Organization Active NPI

Rosewood Medical LLC

  • Primary Care Nurse Practitioner
  • McClellandtown, PA
National Provider Identifier
1386301216
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
ROSEWOOD MEDICAL LLC
Practice address
870 McClellandtown Rd Ste 7
MC Clellandtown, PA 15458-1253
Phone
(412) 564-3210
Fax
(724) 798-4637
NPI assigned
Nov 28, 2021
Last updated
Jul 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Authorized official

Name
Valerie Margaret Messer, CRNPNPI 1437233897
Title
Owner
Phone
(412) 564-3210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

870 McClellandtown Rd Ste 7
MC Clellandtown, PA 15458-1253

Mailing address

PO Box 248
MC Clellandtown, PA 15458-0248
Phone (412) 564-3210

Other practice location 1

4313 PA 51
Rostraver Twp, PA 15412
Phone (412) 564-3210

Other identifiers 1

IdentifierTypeStateIssuer
78017969MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220518000105 PA Part B Supplier - Clinic/Group Practice 8628455458 Receives reassigned benefits from 1 practitioner
Practice locations: MC Clellandtown, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1386301216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "MC CLELLANDTOWN",
            "state": "PA",
            "postal_code": "154580248",
            "telephone_number": "412-564-3210",
            "fax_number": "724-798-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MCCLELLANDTOWN RD STE 7",
            "city": "MC CLELLANDTOWN",
            "state": "PA",
            "postal_code": "154581253",
            "telephone_number": "412-564-3210",
            "fax_number": "724-798-4637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4313 PA 51",
            "address_purpose": "LOCATION",
            "city": "Rostraver Twp",
            "state": "PA",
            "postal_code": "15412",
            "country_code": "US",
            "telephone_number": "412-564-3210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSEWOOD MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-28",
        "last_updated": "2022-07-01",
        "certification_date": "2022-06-25",
        "status": "A",
        "authorized_official_last_name": "MESSER",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-564-3210",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78017969",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McClellandtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.