Individual provider Active NPI

Ashley J Rossman, D.O.

  • Ophthalmology Physician
  • Petoskey, MI
National Provider Identifier
1396184776
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5101020414 Issued in MI
Practice address
932 Spring St
Petoskey, MI 49770
Phone
(231) 487-5315
NPI assigned
Jun 19, 2013
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 5101020414 MI Primary

Addresses

Primary practice location

932 Spring St
Petoskey, MI 49770

Mailing address

932 Spring St Ste 101
Petoskey, MI 49770-2286
Phone (231) 487-5315

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170810000875 MI Practitioner - Ophthalmology 0446492060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Michigan State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashley Rossman Eye CareGroup PAC ID 6406180801, 4 clinicians

Practice addresses (Care Compare)

560 W Mitchell St
Suite 204
Petoskey, MI 49770-2276
Phone (231) 487-0171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.19 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101020414MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Rossman Eye Care Ophthalmology CurrentSince May 3, 2019 Accepting new patients
Williams Ophthalmology Ophthalmology PastSince Oct 1, 2023 Accepting new patients
Professional Optical LLC Past Accepting new patients

Locations

4070 Charlevoix Rd
Petoskey, MI 49770
Phone (231) 487-5315

560 W Mitchell St
Ste 204
Petoskey, MI 49770
Phone (231) 487-0171

932 Spring St
Ste 101
Petoskey, MI 49770
Phone (231) 487-5315

Organizations & group practices 4

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 4

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1396184776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 SPRING ST STE 101",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702286",
            "telephone_number": "231-487-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 SPRING ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "49770",
            "telephone_number": "231-487-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSMAN",
        "first_name": "ASHLEY",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101020414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.